Individual provider Active NPI

Margaret Klepack, MD

  • Family Medicine Physician
  • Stockton Springs, ME
National Provider Identifier
1447719471
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD25790 Issued in ME
Practice address
11 Cape Jellison Rd
Stockton Springs, ME 04981-4349
Phone
(207) 567-4000
NPI assigned
Mar 19, 2019
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD25790 ME Primary

Addresses

Primary practice location

11 Cape Jellison Rd
Stockton Springs, ME 04981-4349

Mailing address

11 Cape Jellison Rd
Stockton Springs, ME 04981-4349
Phone (207) 567-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115002821 ME Practitioner - Family Practice 6800124009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
66.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25790MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 31, 2022 Accepting new patients
Mainehealth CurrentSince Oct 31, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth PastSince Oct 9, 2022 Accepting new patients
Davis Long Term Care Group Inc Past Accepting new patients
Mainehealth Family Medicine Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

11 Cape Jellison Rd
Stockton Springs, ME 04981
Phone (207) 567-4000

Interoperability endpoints

  • Direct secure messaging: mklepack255109@direct.mmc.mainehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1447719471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CAPE JELLISON RD",
            "city": "STOCKTON SPRINGS",
            "state": "ME",
            "postal_code": "049814349",
            "telephone_number": "207-567-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CAPE JELLISON RD",
            "city": "STOCKTON SPRINGS",
            "state": "ME",
            "postal_code": "049814349",
            "telephone_number": "207-567-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPACK",
        "first_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD25790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton Springs, ME

Sources for this page

Verify at the official NPI Registry.