DR. ARIEL PORTERFIELD ZODHIATES M.D.
NPI 1124313911
Family Medicine in Portland, ME
NPI Status: Active since June 09, 2011
Contact Information
180 PARK AVE STE 1
PORTLAND, ME
ZIP 04102
Phone: (207) 874-2141
Fax: (207) 874-2164
- Individual
- Female
- Years of Experience 15
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ARIEL ZODHIATES
This page provides the complete NPI Profile along with additional information for Ariel Zodhiates, a primary care provider established in Portland, Maine with a medical specialization in Family Medicine and more than 15 years of experience. She graduated from Emory University School Of Medicine in 2011. The healthcare provider is registered in the NPI registry with number 1124313911 assigned on June 2011. The practitioner's primary taxonomy code is 207Q00000X with license number MD25927 (ME). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1124313911
- Provider Name
- DR. ARIEL PORTERFIELD ZODHIATES M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 180 PARK AVE STE 1 PORTLAND, ME 04102
- Location Phone
- (207) 874-2141
- Location Fax
- (207) 874-2164
- Mailing Address
- 180 PARK AVE PORTLAND, ME 04102
- Mailing Phone
- (207) 874-2141
- Mailing Fax
- (207) 874-2164
- Medical School Name
- EMORY UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2011
- Last Update Date
- 04-02-2025
- Code Navigator
A primary care provider (PCP) like Ariel Zodhiates sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD25927
- License State
- ME
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | A122955 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ariel Zodhiates is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Ariel Zodhiates is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6901038033
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220913001671
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $24.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.72
- Minimum New Patient Price $56.28
- Maximum New Patient Price $169.96
- Average New Patient Copayment $21.68
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $42.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.18
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $138.92
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $34.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 3 | 1 | 3 | 9 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 6 | 1 | 6 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 6 + 1 + 6 + 9 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1124313911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689322430 | KAREN TERESE CLARKSON RN Individual | Registered Nurse | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1114654621 | MELISSA CUNNINGHAM PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 180 PARK AVE STE 1 PORTLAND, ME 04102 (120) 787-4214 |
| 1770203317 | REBECCA MILLER RN Individual | Registered Nurse | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1063296416 | AUDREY PATIN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1013953991 | GRETCHEN A. PIANKA M.D. Individual | Pediatrics | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1023054277 | WEBB E. LONG M.D. Individual | Pediatrics | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1043878648 | CAMERON L GOLLER FNPC Individual | Nurse Practitioner | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1356035547 | LASHAWNA FITTS FNP Individual | Nurse Practitioner | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1477997146 | MEGAN R WATERMAN MD Individual | Family Medicine | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1679823272 | GRETCHEN E SPEED NP Individual | Nurse Practitioner | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
| 1790994036 | MS. CATHERINE GALLAGHER GAYNOR FNP-C Individual | Nurse Practitioner (Family) | 180 PARK AVE STE 1 PORTLAND, ME 04102 (207) 874-2141 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124313911, enumerated in the NPI registry as an "individual" on June 09, 2011
The provider is located at 180 Park Ave Ste 1 Portland, Me 04102 and the phone number is (207) 874-2141
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 15 years of experience. She graduated from Emory University School Of Medicine in 2011.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $86.72 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $99.18 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 09, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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