Robert Alan Clough, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Bangor, ME
NPI 1528044245 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1528044245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 012266 (ME)
- Practice address
- 417 State St
Suite 421
Bangor, ME 04401-6630 - Phone
- (207) 973-5293
- Fax
- (207) 973-5263
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012266 | ME | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 012266 | ME | Yes |
Addresses
Primary practice location
417 State St
Suite 421
Bangor, ME 04401-6630
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-5035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117950000 | Medicaid | ME |
Other providers in Bangor, ME
- Erik Carawan Cline
- Patricia L Cline
- Melissa Clingerman
- William C Cloran
- Close to Home Birth Center
- Scott Clough
- Mercedes Clout
- Frances Harlow Clukey
- Coastal Med Tech Inc
- Coastal Med-Tech Corp.
All providers in Bangor, ME · Thoracic Surgery (Cardiothoracic Vascular Surgery) 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 17, 2011. 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.