Active NPI
David L Ettinger, MD
- Family Medicine Physician
- Belfast, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD12394
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231030000 | Medicaid | ME |
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
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 52.16
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 67.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD12394 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Northern Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Penobscot Community Health Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Northern Maine Medical Center | Current | 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
- dettinger@yourcarecommunity.org
- 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.
-
dba Penobscot Community Health Care
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1427169010
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
dba St John Valley Pharmacy
- Community/Retail Pharmacy
- Fort Kent, ME
- NPI 1952303422
-
dba Seaport Community Health Center
- Federally Qualified Health Center (FQHC)
- Belfast, ME
- NPI 1023458320
-
dba Adult Wellness Center
- Federally Qualified Health Center (FQHC)
- Bangor, ME
- NPI 1083259410
-
dba Spectrum Radiology North
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Constellation Hospice, Constellation Health Services
- Community Based Hospice Care Agency
- Augusta, ME
- NPI 1518405323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.