Active NPI
Gary P Degen, DPM
- Foot & Ankle Surgery Podiatrist
- Lincoln, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD1023
- Practice address
- 175 W Broadway
Lincoln, ME 04457-4000 - Phone
- (207) 794-6700
- Fax
- (207) 794-6777
- NPI assigned
- Feb 22, 2006
- Last updated
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00320 | KY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD1023 | ME | Primary |
Addresses
Primary practice location
175 W Broadway
Lincoln, ME 04457-4000
Mailing address
PO Box 99
Lincoln, ME 04457-0099
Phone (207) 794-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0142 | Other | KY | RAILROAD GROUP |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Gracelawn Rd
Suite 101
Auburn, ME 04210-6347
Phone (207) 333-4710
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of nail tissue | 351 |
| Removal or shaving of skin growth | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018 | MA | MD | Mental Health Counselor |
| 247 | NH | MD | Clinical Social Worker |
| 00320 | KY | MD | Foot & Ankle Surgery Podiatrist |
| POD1023 | ME | MD | Foot & Ankle Surgery Podiatrist |
| 274 | NH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Podiatric Physicians of Louisville PSC | Past | Accepting new patients |
Locations
15 Gracelawn Rd
Auburn, ME 04210
Phone (207) 333-4799
15 Gracelawn Rd
Ste 101
Auburn, ME 04210
Phone (207) 333-4710
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
dba St. Mary's Urgent Care
- Urgent Care Clinic/Center
- Auburn, ME
- NPI 1407242522
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
-
- Podiatrist
- Louisville, KY
- NPI 1316309818
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1720053606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044570099",
"telephone_number": "207-794-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W BROADWAY",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044574000",
"telephone_number": "207-794-6700",
"fax_number": "207-794-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEN",
"first_name": "GARY",
"middle_name": "P",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "00320",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ME",
"license": "POD1023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "CH0142",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.