Active NPI
Timothy Graham Allen, MD
- Orthopaedic Hand Surgery Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- MD23422
- Practice address
- 78 Ridgewood Dr
Bangor, ME 04401-2652 - Phone
- (207) 307-8906
- Fax
- (207) 307-8916
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 16, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Q3138 | TX | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD23422 | ME | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | Q3138 | TX |
Addresses
Primary practice location
78 Ridgewood Dr
Bangor, ME 04401-2652
Mailing address
78 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 307-8954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T80686 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Colorado School of Medicine, Denver, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 947-8381
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.67 of 100
- Quality
- 70.75
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 66.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23422 | ME | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Orthopedic Assoc PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
78 Ridgewood Dr
Bangor, ME 04401
Phone (207) 947-0768
Interoperability endpoints
- timothy.allen.1@24925.direct.athenahealth.com
Organizations & group practices 1
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 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1265443196
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1275646150
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1871522490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-307-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-307-8906",
"fax_number": "207-307-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TIMOTHY",
"middle_name": "GRAHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "Q3138",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "ME",
"license": "MD23422",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "TX",
"license": "Q3138",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T80686",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.