Active NPI
John I Pyne, MD
- Surgery of the Hand (Surgery) Physician
- Bangor, ME
National Provider Identifier
1447254115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 013747
- Practice address
- 78 Ridgewood Dr
Bangor, ME 04401-2652 - Phone
- (207) 947-8381
- Fax
- (207) 947-6056
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 013747 | ME | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 013747 | ME | Primary |
Addresses
Primary practice location
78 Ridgewood Dr
Bangor, ME 04401-2652
Mailing address
78 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 947-8381
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000028936 | Other | RR MEDICARE | |
| ME0560 | Other | HP | |
| 09-01065 | Other | UNITED HC | |
| M67422 | Other | CIGNA | |
| 011499 | Other | ANTHEM | |
| 1040724 | Other | AETNA | |
| 304280099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.67 of 100
- Quality
- 70.75
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 66.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013747 | ME | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Orthopedic Assoc PA | Orthopaedic Surgery | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients |
Locations
78 Ridgewood Dr
Bangor, ME 04401
Phone (207) 947-0768
489 State St
Bangor, ME 04401
Phone (207) 973-8837
404 State St
Bangor, ME 04401
Phone (207) 947-8381
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1447254115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-947-8381",
"fax_number": "207-947-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-947-8381",
"fax_number": "207-947-6056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYNE",
"first_name": "JOHN",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "013747",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "ME",
"license": "013747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "2000028936",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP",
"identifier": "ME0560",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC",
"identifier": "09-01065",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M67422",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "011499",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1040724",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304280099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.