Individual provider Active NPI

Ethan Thomas Percy, DO

  • Family Medicine Physician
  • Bangor, ME
National Provider Identifier
1548828577
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3350 Issued in ME
Practice address
840 Hammond St Ste 2
Bangor, ME 04401-4388
Phone
(207) 300-4027
Fax
(207) 300-4028
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 DO3350 ME Primary

Addresses

Primary practice location

840 Hammond St Ste 2
Bangor, ME 04401-4388

Mailing address

840 Hammond St Ste 2
Bangor, ME 04401-4388
Phone (207) 300-4027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 20, 2024 through Oct 20, 2026

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Interventional Pain Specialists PC PastSince May 25, 2025 Accepting new patients
Dragonfly Therapy PastSince May 1, 2006 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1548828577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 HAMMOND ST STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014388",
            "telephone_number": "207-300-4027",
            "fax_number": "207-300-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HAMMOND ST STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014388",
            "telephone_number": "207-300-4027",
            "fax_number": "207-300-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCY",
        "first_name": "ETHAN",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO3350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.