Kerry Allison Lavigne, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD19615 Issued in ME

Practice address

195 Union St
Rockport, ME 04856-6107

Phone

(207) 706-5030

Fax

(877) 343-6641

NPI assigned

Apr 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kerry Allison Sharpe Former name

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

Specialty

Dermatology

Education

University of Tennessee, HSC, College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden Dermatology and Mohs Surgery LLCGroup PAC ID 9133481450, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kerry.lavigne@dermassoc.eclinicaldirectplus.com

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.

• Camden Dermatology & Mohs Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Rockport, ME
  • NPI 1215440011
  Medicare reassignment Care Compare group Authorized official
• Mainehealth

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Medicare reassignment NPD
• Penobscot Bay Physicians & Associates

  • Multi-Specialty Clinic/Center
  • Rockport, ME
  • NPI 1497799720
  Medicare reassignment NPD

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

• Mainehealth

  • General Acute Care Hospital
  • Rockport, ME
  • NPI 1982645305
  Care Compare affiliation

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1700052792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 UNION ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048566107",
            "telephone_number": "207-706-5030",
            "fax_number": "877-343-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 UNION ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048566107",
            "telephone_number": "207-706-5030",
            "fax_number": "877-343-6641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Science Park Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747199",
            "country_code": "US",
            "telephone_number": "207-706-5030",
            "fax_number": "877-343-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "KERRY",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "ME",
            "license": "MD19615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215440011",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "SHARPE",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Langford
• Bradley Deen Lanphere
• Stephanie Rose Lash, M.D.
• Sarah Laube, FNP
• Robert P Laurence, MD
• Elizabeth Buyers Lawrence, MD
• Jean Leavitt
• Robert F Legendre Jr., M.D.
• Bruce E Leiter, M.D.
• Nicole Lew

• MOHS-Micrographic Surgery Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• MOHS-Micrographic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.