NPIMap

Individual provider Active NPI

Ralph W Thieme, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Falmouth, ME
National Provider Identifier
1710963434
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1596 Issued in ME
Practice address
66 Leighton Rd
Falmouth, ME 04105-2225
Phone
(207) 781-6560
Fax
(207) 781-6561
NPI assigned
Dec 15, 2005
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1596 ME Primary

Addresses

Primary practice location

66 Leighton Rd
Falmouth, ME 04105-2225

Mailing address

PO Box 6071
Falmouth, ME 04105-6071
Phone (207) 781-6560

Other identifiers 5

IdentifierTypeStateIssuer
4336070OtherMECIGNA
AA5728OtherMEHARVARD PILGRIM
326760000MedicaidME
047280OtherMEANTHEM
3443842OtherMEAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000023 ME Practitioner - Osteopathic Manipulative Medicine 9638150048 Reassigns benefits to 3 organizations
Practice locations: Falmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
University of New England, College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 York St
Portland, ME 04102-3953
Phone (207) 781-6560

66 Leighton Rd
Falmouth, ME 04105-2225
Phone (207) 781-6560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1596MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Falmouth Osteopathy & Acupuncture Neuromusculoskeletal Medicine & Omm CurrentSince May 1, 2011 Accepting new patients
Maine Medical Partners CurrentSince Sep 8, 2020 Accepting new patients
Maine Medical Partners CurrentSince Sep 8, 2020 Accepting new patients
Mainehealth CurrentSince Jul 1, 2005 Accepting new patients
University of New England Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

6 Fundy Rd
Ste 400
Falmouth, ME 04105
Phone (207) 370-4583

66 Leighton Rd
Falmouth, ME 04105
Phone (207) 536-0560

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

231 York St
Portland, ME 04102
Phone (207) 329-2366

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

5 Bucknam Rd
Portland, ME 04105
Phone (207) 781-1500

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

Interoperability endpoints

  • Direct secure messaging: rthieme5089@direct.mmc.mainehealth.org

Organizations & group practices 5

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1710963434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6071",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041056071",
            "telephone_number": "207-781-6560",
            "fax_number": "207-839-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-781-6560",
            "fax_number": "207-781-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEME",
        "first_name": "RALPH",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4336070",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA5728",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326760000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "047280",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3443842",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.