Gregory Bianconi, MD
Individual provider Active NPI Family Medicine Physician · Freeport, ME
NPI 1447239074 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1447239074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 011466 (ME)
- Practice address
- 50 Marquis Rd
Freeport, ME 04032-6477 - Phone
- (207) 865-6131
- Fax
- (207) 865-9399
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Maine Medical Center
Practice addresses (Care Compare)
300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900
76 High St
FL 1
Lewiston, ME 04240-7649
Phone (207) 795-2800
Hospital & facility affiliations
- Central Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.02 of 100
- Quality
- 59.99
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040804000965 | ME | Practitioner - Family Practice | 1254302003 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011466 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current |
Accepting new patients | |
| Central Maine Medical Center | Current |
Accepting new patients | |
| Central Maine Medical Center | Past | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
76 High St
Lewiston, ME 04240
Phone (207) 795-2800
2 Bisbee St
Lisbon, ME 04250
Phone (207) 353-6721
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 011466 | ME | Yes |
Addresses
Primary practice location
50 Marquis Rd
Freeport, ME 04032-6477
Mailing address
50 Marquis Rd
Freeport, ME 04032-6477
Phone (207) 865-6131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010211494 | Medicaid | ME |
Other providers in Freeport, ME
- Earl S. Avant Jr.
- Alexandra Jane Barr
- Marlene Barry
- Lynette Bassett Willard
- Bella Point, Inc
- Rebecca Beaulier Billings
- Michael J Bither
- Erin Bolduc
- Nan J Boucher
- Katlyn Breton
All providers in Freeport, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.