Bart Joseph Decristoforo, P.A - C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-734 Issued in ME

Practice address

66 Bramhall St
Suite G1
Portland, ME 04102-3344

Phone

(207) 662-3157

Fax

(207) 662-6434

NPI assigned

Apr 6, 2007

Last updated

Apr 25, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Maine Medical Partners

  dba Maine Medical Partners Internal Medicine

  • Internal Medicine Physician
  • Cape Elizabeth, ME
  • NPI 1598780447
  Medicare reassignment
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment
• St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Medicare reassignment
• Maine Medical Partners

  • Surgery Physician
  • Scarborough, ME
  • NPI 1346687167
  NPD
• Maine Medical Partners

  dba Maine Medical Partners Geriatric Medicine

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1790976074

  Physician Assistant

  NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba Maine Medical Center Infectious Disease

  • Infectious Disease Physician
  • Portland, ME
  • NPI 1073701157
  NPD
• St. Mary's Regional Medical Center

  dba St. Mary's Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, ME
  • NPI 1407242522
  NPD
• Mainehealth

  dba MaineHealth Pharmacy Maine Medical Center Biddeford

  • General Acute Care Hospital
  • Biddeford, ME
  • NPI 1659392819
  NPD (past)
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  NPD (past)
• University of New England

  dba University Healthcare

  • Family Medicine Physician
  • Biddeford, ME
  • NPI 1699752055
  NPD (past)
• Western Maine Multi-Medical Specialists

  dba Western Maine OB-GYN

  • Obstetrics & Gynecology Physician
  • Norway, ME
  • NPI 1750506291
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1528181658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERSIDE ST",
            "address_2": "SUITE 6B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073",
            "telephone_number": "207-661-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "address_2": "SUITE G1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-3157",
            "fax_number": "207-662-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRISTOFORO",
        "first_name": "BART",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.A - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA-734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Frances Deberadinis
• Garreth C Debiegun, M.D.
• Heidi Frutchy Deblock, M.D.
• Katelyn Deblois, M.A CF-SLP
• Nichole Lee Decker-St Onge, MSN, CRNA, APRN
• Michael A Dedekian, MD
• Kyle Stanley Deden, D.C.
• Kathryn Bailey Deep, PA-C
• Elisabeth W. Deeran, MD
• Deering Center Dental LLC

• Physician Assistant in Portland, ME
• Providers in Portland, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.

Verify at the official NPI Registry.