COREY A. COUTO M.D.
NPI 1326266503
Radiology - Diagnostic Radiology in Bangor, ME
NPI Status: Active since April 23, 2007
- Individual
- Male
- Years of Experience 21
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About COREY COUTO
This page provides the complete NPI Profile along with additional information for Corey Couto, a provider established in Bangor, Maine with a medical specialization in Radiology, focusing in diagnostic radiology and more than 21 years of experience. He graduated from Geisel School Of Medicine At Dartmouth in 2005. The healthcare provider is registered in the NPI registry with number 1326266503 assigned on April 2007. The practitioner's primary taxonomy code is 2085R0202X with license number MD18918 (ME). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1326266503
- Provider Name
- COREY A. COUTO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 489 STATE ST BANGOR, ME 04401
- Location Phone
- (207) 973-8150
- Mailing Address
- 324 GANNETT DR STE 200 SOUTH PORTLAND, ME 04106
- Mailing Phone
- (207) 482-7800
- Medical School Name
- GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-23-2007
- Last Update Date
- 11-02-2015
- Code Navigator
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD18918
- License State
- ME
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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
Corey Couto 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.
Corey Couto 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: 5698943546
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: I20110719000710
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of leg without contrast
Ct scan of upper spine without contrast
Drainage of fluid from abdominal cavity using imaging guidance
Dxa bone density measurement of hip, pelvis, spine
Fluoroscopic guidance for needle placement
Imaging for evaluation of swallowing function
Limited ultrasound scan behind abdominal cavity
Limited ultrasound scan of abdomen
Limited ultrasound scan of joint or other extremity structure lacking blood vessels
Low dose ct scan of chest for lung cancer screening
Mri scan of abdomen before and after contrast
Mri scan of brain without contrast
Mri scan of leg joint without contrast
Mri scan of lower spinal canal without contrast
Needle biopsy of liver through skin
Review by radiologist of ct guidance for needle placement
Screening 3d breast mammography
Screening mammography
Ultrasonic guidance for needle placement
Ultrasound of both sides of head and neck blood flow
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
X-ray of abdomen, 1 view
X-ray of ankle, minimum of 3 views
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of chest, 2 views
X-ray of foot, minimum of 3 views
X-ray of foot, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 1-2 views
X-ray of knee, 3 views
X-ray of knee, 4 or more views
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, 2-3 views
X-ray of pelvis, 1-2 views
X-ray of shoulder, minimum of 2 views
X-ray of shoulder, minimum of 2 views
X-ray of thigh bone, minimum 2 views
X-ray of wrist, minimum of 3 views
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
This service was performed 132 times for 129 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 135 times for 134 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 56 times for 56 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 45 times for 44 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 49 times for 49 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 69 times for 68 patientsA CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.
This service was performed 13 times for 13 patientsA CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
This service was performed 28 times for 28 patientsThis procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
This service was performed 25 times for 13 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 35 times for 35 patientsFluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
This service was performed 12 times for 11 patientsThis process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
This service was performed 46 times for 43 patientsA limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
This service was performed 12 times for 12 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 31 times for 31 patientsA limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
This service was performed 12 times for 11 patientsA low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
This service was performed 26 times for 26 patientsAn MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
This service was performed 12 times for 12 patientsAn MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
This service was performed 25 times for 25 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 15 times for 14 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 15 times for 15 patientsA needle biopsy of the liver through skin is a procedure where a small tissue sample from your liver is collected using a thin needle. This is done to diagnose liver diseases or conditions. It involves inserting the needle through your skin and into your liver.
This service was performed 12 times for 12 patientsThis process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
This service was performed 18 times for 18 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 13 times for 13 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 22 times for 22 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 25 times for 25 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 28 times for 28 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 25 times for 25 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 53 times for 53 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 35 times for 35 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 24 times for 23 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 19 times for 19 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 286 times for 260 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 120 times for 120 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 40 times for 40 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 18 times for 16 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 15 times for 14 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 51 times for 51 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 11 times for 11 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 22 times for 21 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 11 times for 11 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 16 times for 14 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 38 times for 35 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 25 times for 25 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 16 times for 16 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 18 times for 18 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 59 times for 55 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 16 times for 14 patientsAn X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
This service was performed 13 times for 13 patientsAn X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.64 for a new patient copayment and $16.68 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 04401 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.58
- Minimum New Patient Price $53.26
- Maximum New Patient Price $162.77
- Average New Patient Copayment $20.64
- Minimum New Patient Copayment $13.31
- Maximum New Patient Copayment $40.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.74
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $132.79
- Average Established Patient Copayment $16.68
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $33.19
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Corey Couto is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ST JOSEPH HOSPITAL | 360 BROADWAY BANGOR, ME 04401 | (207) 262-1000 | Acute Care Hospitals | |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | 489 STATE STREET BANGOR, ME 04401 | (207) 973-7000 | Acute Care Hospitals | |
| NORTHERN LIGHT MAINE COAST HOSPITAL | 50 UNION STREET ELLSWORTH, ME 04605 | (207) 667-5311 | Acute Care Hospitals | |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | 57 WATER STREET BLUE HILL, ME 04614 | (207) 374-2836 | Critical Access Hospitals | |
| NORTHERN LIGHT MAYO HOSPITAL | 897 WEST MAIN STREET DOVER FOXCROFT, ME 04426 | (207) 564-4251 | Critical Access Hospitals |
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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 | 3 | 2 | 6 | 2 | 6 | 6 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 4 | 6 | 12 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 4 + 6 + 1 + 2 + 5 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1326266503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275539397 | DR. JAMIE L/ CRONIN PHARMD Individual | Pharmacist (Pharmacotherapy) | 489 STATE ST BANGOR, ME 04401 (207) 973-8756 |
| 1841282951 | GALE C TINKER PA Individual | Physician Assistant | 489 STATE ST VASCULAR CARE OF MAINE BANGOR, ME 04401 (207) 973-6670 |
| 1477546380 | DR. MARYBETH BOUDREAU PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 489 STATE ST BANGOR, ME 04401 (207) 973-8927 |
| 1861469934 | DR. JOHN K MERCHANT PHARMD Individual | Pharmacist | 489 STATE ST EASTERN MAINE MEDICAL CENTER BANGOR, ME 04401 (207) 972-8286 |
| 1073566329 | CRAIG J PEDERSEN PA-C Individual | Physician Assistant (Medical) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1598702904 | KAREN L VOLCKHAUSEN FNP Individual | Nurse Practitioner (Family) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1013957141 | DR. JAMES W BERRY M.D. Individual | Family Medicine | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1487694147 | DR. CHARLES A STALEY MD Individual | Hospitalist | 489 STATE ST EMIC KELLEY 6 BANGOR, ME 04401 (207) 973-7000 |
| 1891736567 | HEATHER E GARROLD CNM Individual | Advanced Practice Midwife | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1588605208 | ARDELLE PATRICIA HOLLROCK FNP Individual | Nurse Practitioner | 489 STATE ST VASCULAR CARE OF MAINE BANGOR, ME 04401 (207) 973-6670 |
| 1013958735 | JENNIFER LYNN MCKEON CRNP Individual | Nurse Practitioner | 489 STATE ST VASCULAR CARE OF MAINE BANGOR, ME 04401 (207) 973-6670 |
| 1164465696 | JAMES THOMAS PH.D. Individual | Clinical Neuropsychologist | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1952344590 | CANDICE KNUPP N.P. Individual | Nurse Practitioner | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1992740344 | HENRY HOLLIS CAFFEE MD Individual | Surgery (Plastic and Reconstructive Surgery) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1083640163 | DR. AMY J MOVIUS MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1972539617 | MICHELLE FERLAND PA Individual | Physician Assistant | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1710913124 | BRAD SCHMELING PA Individual | Physician Assistant | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
| 1497782767 | DR. JUDITH B ALLEN M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 489 STATE ST BANGOR, ME 04401 (207) 973-7556 |
| 1720017726 | SANDRA G SERPELL CRNA Individual | Nurse Anesthetist, Certified Registered | 489 STATE ST EMMC BANGOR, ME 04401 (207) 973-4133 |
| 1124059449 | MICHELLE A RUTHERFORD ANP Individual | Internal Medicine (Hematology & Oncology) | 489 STATE ST BANGOR, ME 04401 (207) 973-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326266503, enumerated in the NPI registry as an "individual" on April 23, 2007
The provider is located at 489 State St Bangor, Me 04401 and the phone number is (207) 973-8150
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 21 years of experience. He graduated from Geisel School Of Medicine At Dartmouth in 2005.
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 $82.58 with an average copayment of $20.64 for new patient appointments. Established patients should expect a typical charge of $66.74 and an average copayment of 16.68. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Ct scan head or brain without contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of leg without contrast, Ct scan of upper spine without contrast, Drainage of fluid from abdominal cavity using imaging guidance, Dxa bone density measurement of hip, pelvis, spine, Fluoroscopic guidance for needle placement, Imaging for evaluation of swallowing function, Limited ultrasound scan behind abdominal cavity, Limited ultrasound scan of abdomen, Limited ultrasound scan of joint or other extremity structure lacking blood vessels, Low dose ct scan of chest for lung cancer screening, Mri scan of abdomen before and after contrast, Mri scan of brain without contrast, Mri scan of leg joint without contrast, Mri scan of lower spinal canal without contrast, Needle biopsy of liver through skin, Review by radiologist of ct guidance for needle placement, Screening 3d breast mammography, Screening mammography, Ultrasonic guidance for needle placement, Ultrasound of both sides of head and neck blood flow, Ultrasound study of arm or leg veins with compression and maneuvers, Ultrasound study of one arm or leg veins with compression and maneuvers, Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes, X-ray of abdomen, 1 view, X-ray of ankle, minimum of 3 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of foot, minimum of 3 views, X-ray of foot, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of knee, 4 or more views, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, 2-3 views, X-ray of pelvis, 1-2 views, X-ray of shoulder, minimum of 2 views, X-ray of shoulder, minimum of 2 views, X-ray of thigh bone, minimum 2 views and X-ray of wrist, minimum of 3 views.
The practitioner is affiliated to the following hospital(s): ST JOSEPH HOSPITAL, NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER, NORTHERN LIGHT MAINE COAST HOSPITAL, NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL and NORTHERN LIGHT MAYO HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 23, 2007. 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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