Individual provider Active NPI

Jeffrey Fecko, M.D.

  • Neurology Physician
  • Augusta, ME
National Provider Identifier
1982667747
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
013996 Issued in ME
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1040863OtherMEAETNA
620031701OtherMECIGNA
MNT003OtherMEHARVARD PILGRIM
018215OtherMEANTHEM
303290099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050802000944 ME Practitioner - Neurology 8628006400 Reassigns benefits to 4 organizations
I20240612001784 MA Practitioner - Neurology 8628006400 Reassigns benefits to 1 organization

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
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

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

LicenseStateTypeSpecialty
013996MEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Down East Community Hospital CurrentSince Feb 1, 2024 Accepting new patients
Mainehealth CurrentSince Oct 1, 2008 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 1, 2016 Accepting new patients
Down East Community Hospital CurrentSince Sep 6, 2025 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Apr 30, 2024 Accepting new patients
Mainehealth CurrentSince Oct 1, 2008 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 1, 2016 Accepting new patients
Down East Community Hospital Current Accepting new patients
Fairview Hospital CurrentSince Apr 30, 2024 Accepting new patients
Down East Community Hospital CurrentSince Feb 1, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.