Individual provider Active NPI

Allison McCrory, M.D.

  • Dermatology Physician
  • Portland, ME
National Provider Identifier
1992753743
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD19205 Issued in ME
Practice address
50 Sewall St
Portland, ME 04102-2645
Phone
(207) 775-3526
Fax
(207) 775-5658
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 38774 TN
Dermatology Physician 207N00000X MD19205 ME Primary

Addresses

Primary practice location

50 Sewall St
Portland, ME 04102-2645

Mailing address

50 Sewall St
Portland, ME 04102-2645
Phone (207) 775-3526

Other identifiers 1

IdentifierTypeStateIssuer
3325319MedicaidTN

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
I20120917000331 ME Practitioner - Dermatology 7113981440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates, LLCGroup PAC ID 4587698279, 21 clinicians

Practice addresses (Care Compare)

50 Sewall St
Portland, ME 04102-2691
Phone 2077753526212

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision79
Removal of skin lesions603
Removal or shaving of skin growth60
Skin biopsy179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38774TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates, LLC Dermatology CurrentSince Aug 13, 2012 Accepting new patients
Greeneville Ear, Nose & Throat Specialists, Mpllc PastSince Aug 1, 2023 Accepting new patients

Locations

57 Barra Rd
Biddeford, ME 04005
Phone (207) 282-1305

2 Admiral Fitch Ave
Ste B
Brunswick, ME 04011

50 Sewall St
Portland, ME 04102
Phone (207) 775-3526

Interoperability endpoints

  • Direct secure messaging: allison.mccrory@dermassoc.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1992753743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022645",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022645",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "ALLISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "38774",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "MD19205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3325319",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.