Individual provider Active NPI

Kenneth Russell Morse, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bangor, ME
National Provider Identifier
1609885219
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
018059 Issued in ME
Practice address
78 Ridgewood Dr
Bangor, ME 04401-2652
Phone
(207) 947-8381
Fax
(207) 947-5708
NPI assigned
Aug 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 018059 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

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
I20091013000391 ME Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 2062558653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Down East Orthopedic Assoc PAGroup PAC ID 4284619198, 14 clinicians

Practice addresses (Care Compare)

78 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 947-8381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.67 of 100Reported as group
Quality
70.75
Promoting interoperability
91
Improvement activities
40
Cost
66.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018059MEMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Down East Orthopedic Assoc PA Sports Medicine CurrentSince Jan 1, 2011 Accepting new patients
MRH Corp. CurrentSince Mar 1, 2020 Accepting new patients
St. Joseph Ambulatory Care Inc Past Accepting new patients
Acadia Medical Arts Ambulatory Surgical Suite PastSince Jan 1, 2011 Accepting new patients
MRH Corp. Past Accepting new patients

Locations

78 Ridgewood Dr
Bangor, ME 04401
Phone (207) 947-0768

43 Dwelley Ave
Dovr Foxcroft, ME 04426
Phone (207) 564-4450

891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

891 W Main St
Ste 500
Dovr Foxcroft, ME 04426
Phone (207) 564-4466

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

Interoperability endpoints

  • Direct secure messaging: kenneth.morse.1@24925.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609885219",
    "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": "207-947-5708"
        },
        {
            "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": "207-947-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "KENNETH",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ME",
            "license": "018059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.