Active NPI
Jeffrey Fecko, M.D.
- Neurology Physician
- Augusta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 013996
- Practice address
- 35 Medical Center Pkwy
Augusta, ME 04330-8160 - Phone
- (207) 626-6460
- Fax
- (207) 621-9551
- NPI assigned
- Apr 11, 2006
- Last updated
- Sep 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 013996 | ME | Primary |
Addresses
Primary practice location
35 Medical Center Pkwy
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 626-6460
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1040863 | Other | ME | AETNA |
| 620031701 | Other | ME | CIGNA |
| MNT003 | Other | ME | HARVARD PILGRIM |
| 018215 | Other | ME | ANTHEM |
| 303290099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 N St
Suite 207
Pittsfield, MA 01201-4123
Phone (413) 499-8510
780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013996 | ME | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Primecare Physician Associates | Neurology | Past | Accepting new patients |
Locations
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
2 Medical Center Dr
Biddeford, ME 04005
Phone (207) 284-6351
30 W Cole Rd
Biddeford, ME 04005
Phone (207) 282-3349
9 Healthcare Dr
Ste 101
Biddeford, ME 04005
Phone (207) 282-4270
9 Healthcare Dr
Ste 201
Biddeford, ME 04005
Phone (207) 282-9080
9 Healthcare Dr
Ste 202
Biddeford, ME 04005
Phone (207) 283-1427
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
-
- General Acute Care Hospital
- Machias, ME
- NPI 1689670242
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
dba MaineHealth Pharmacy Maine Medical Center Biddeford
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
-
- Medicare Defined Swing Bed Hospital Unit
- Machias, ME
- NPI 1336587542
-
dba DECH Family Practic
- Multi-Specialty Clinic/Center
- Calais, ME
- NPI 1972015774
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
dba East Mountain Medical
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1982667747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-626-6460",
"fax_number": "207-621-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-626-6460",
"fax_number": "207-621-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FECKO",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ME",
"license": "013996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1040863",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "620031701",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "MNT003",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "018215",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303290099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.