John J Pagonis, MD
Individual provider Active NPI Family Medicine Physician · Brooks, ME
NPI 1861403693 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1861403693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 018235 (ME)
- Practice address
- 55 Reynolds Road
Brooks, ME 04915 - Phone
- (207) 722-3488
- Fax
- (207) 722-3183
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091016000022 | ME | Practitioner - Family Practice | 9739254731 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065594A | IN | MD | Family Medicine Physician |
| 018235 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Waldo County General Hospital | Past | Accepting new patients | |
| Waldo County General Hospital | Past | Accepting new patients | |
| Professional Emergency Physicians PC | Past | Accepting new patients | |
| Fort Wayne Medical Education Program | Family Medicine | Past |
Accepting new patients |
Locations
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
55 Reynolds Rd
Ste 350
Brooks, ME 04921
55 Reynolds Rd
Brooks, ME 04921
Phone (207) 322-3922
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- jpagonis104272@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01065594A | IN | |
| Family Medicine Physician | 207Q00000X | 018235 | ME | Yes |
Addresses
Primary practice location
55 Reynolds Road
Brooks, ME 04915
Mailing address
55 Reynolds Rd
Suite 350
Brooks, ME 04921-3637
Phone (207) 722-3488
Other providers in Brooks, ME
- Ronald E. Cormier
- Angela Holmes
- Angela M Lyford
- Mainehealth
- Julia Ann Mushrall
- Holly Parker
- Sarina Roche
- Mary Elsa Theobald
- Waldo County General Hospital
All providers in Brooks, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.