Individual provider Active NPI

David L Ettinger, MD

  • Family Medicine Physician
  • Belfast, ME
National Provider Identifier
1871532424
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD12394 Issued in ME
Practice address
118 Northport Ave
Belfast, ME 04915-6009
Phone
(207) 505-4123
Fax
(207) 338-6820
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD12394 ME Primary
Emergency Medicine Physician 207P00000X MD12394 ME

Addresses

Primary practice location

118 Northport Ave
Belfast, ME 04915-6009

Mailing address

118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 505-4123

Other practice location 1

992 Union St
Bangor, ME 04401-3057
Phone (207) 992-2601

Other practice location 2

Penobscot Bay Medical Center
Rockport, ME 04856
Phone (207) 596-8333

Other identifiers 1

IdentifierTypeStateIssuer
231030000MedicaidME

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
I20050517000795 ME Practitioner - Emergency MedicinePractitioner - Family Practice 3173564473 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Ohio State University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penobscot Community Health CenterGroup PAC ID 0143212670, 135 clinicians

Practice addresses (Care Compare)

1012 Union St
Bangor, ME 04401-3058

1068 Union St
Bangor, ME 04401-3016
Phone (207) 404-8181

181 Corporate Dr
Bangor, ME 04401-4314
Phone (207) 992-2636

30 Summer St
Bangor, ME 04401-6467
Phone (207) 404-8383

6 Telcom Dr
Bangor, ME 04401-3072
Phone (207) 941-2850

992 Union St
Bangor, ME 04401-3057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
52.16
Promoting interoperability
94
Improvement activities
40
Cost
67.56

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD12394MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jun 6, 2015 Accepting new patients
Mainehealth Current Accepting new patients
Northern Maine Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Penobscot Community Health Center CurrentSince May 1, 2023 Accepting new patients
Penobscot Community Health Center Current Accepting new patients
Penobscot Community Health Center CurrentSince May 1, 2023 Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Northern Maine Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Spectrum Healthcare Partners, PA Past Accepting new patients

Locations

1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407

992 Union St
Ste 5
Bangor, ME 04401
Phone (207) 992-2601

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

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

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

Interoperability endpoints

  • Direct secure messaging: dettinger@yourcarecommunity.org
  • Direct secure messaging: dettinger119263@direct.mmc.mainehealth.org

Organizations & group practices 10

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 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1871532424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156009",
            "telephone_number": "207-505-4123",
            "fax_number": "207-338-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156009",
            "telephone_number": "207-505-4123",
            "fax_number": "207-338-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "992 Union St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013057",
            "country_code": "US",
            "telephone_number": "207-992-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PENOBSCOT BAY MEDICAL CENTER",
            "address_purpose": "LOCATION",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "country_code": "US",
            "telephone_number": "207-596-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD12394",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD12394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231030000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.