Individual provider Active NPI

Zachary George Klett, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Waterville, ME
National Provider Identifier
1851374938
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD21761 Issued in ME
Practice address
325A Kennedy Memorial Dr
Waterville, ME 04901-4517
Phone
(207) 873-2731
Fax
(207) 873-1106
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD21761 ME
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD21761 ME Primary

Addresses

Primary practice location

325A Kennedy Memorial Dr
Waterville, ME 04901-4517

Mailing address

325A Kennedy Memorial Dr
Waterville, ME 04901-4517
Phone (207) 873-2731

Other practice location 1

417 State St Ste 230
Bangor, ME 04401-6630
Phone (207) 973-4350

Other identifiers 1

IdentifierTypeStateIssuer
1851374938MedicaidME

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
I20180413000488 ME Practitioner - Ophthalmology 5799865911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Eye Care AssociatesGroup PAC ID 0143317305, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

325 A Kennedy Memorial Dr
Waterville, ME 04901-4517
Phone (207) 873-2731

Hospital & facility affiliations

  • Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

Merit-based Incentive Payment System (MIPS)

Final score
97.37 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21761MEMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Eye Care Associates CurrentSince Apr 1, 2022 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 18, 2018 Accepting new patients
Maine Eye Care Associates Ophthalmology CurrentSince Apr 1, 2022 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 18, 2018 Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

931 Union St
Fl 3
Bangor, ME 04401

417 State St
Ste 230
Bangor, ME 04401
Phone (207) 942-9324

43 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-5000

349 Wilton Rd
Farmington, ME 04938

123 Somerset Plz
Pittsfield, ME 04967
Phone (207) 487-2261

325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1851374938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325A KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014517",
            "telephone_number": "207-873-2731",
            "fax_number": "207-973-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325A KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014517",
            "telephone_number": "207-873-2731",
            "fax_number": "207-873-1106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 State St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016630",
            "country_code": "US",
            "telephone_number": "207-973-4350",
            "fax_number": "207-973-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLETT",
        "first_name": "ZACHARY",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD21761",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "ME",
            "license": "MD21761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851374938",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.