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PETER TIOSECO OCAMPO DPM
NPI 1003902149
Podiatrist in Scarborough, ME

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
25 PLAZA DR, STE 9, SCARBOROUGH, ME 04074(207) 883-0865(207) 883-0913 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2016, Sep 14, 2016 (2 updates tracked since 2016).

About Peter Tioseco Ocampo Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER TIOSECO OCAMPO DPM (NPI 1003902149) is an individual podiatrist in Scarborough, Maine, licensed in Maine (POD1031) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of William M. Scholl College Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1003902149
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePETER TIOSECO OCAMPOCredential: DPM
Location Address25 PLAZA DR, STE 9Scarborough, ME 04074-6900
Mailing Address25 Plaza Dr, Ste 9Scarborough, ME 04074-6900 · (207) 883-0865 · Fax (207) 883-0913
Phone(207) 883-0865
Fax(207) 883-0913
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1998
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
✔ NPI 1003902149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in ME · POD1031
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
25 PLAZA DR, Scarborough, ME 04074
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Other Identifiers 1

Medicare UPINU72588ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Tioseco Ocampo Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597744813
PECOS Enrollment IDI20040719001179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services54 patients
X-ray of foot, minimum of 3 views 73630
An 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.
82 services60 patients
X-ray of ankle, minimum of 3 views 73610
An 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.
42 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Rumford Hospital

Critical Access Hospitals · Rumford, ME
OwnershipProprietary
CMS Certification Number201306
Location420 Franklin StreetRumford, ME 04276 · Oxford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
4 suppliers14 claims14 services$265.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
Clinic/Center (Rehabilitation)
25 PLAZA DR
SCARBOROUGH, ME 04074
Cumberland County (207) 289-1010
SOUTHERN MAINE FOOT AND ANKLE PA
Podiatrist (Foot & Ankle Surgery)
25 PLAZA DR, SUITE 9
SCARBOROUGH, ME 04074
Cumberland County (207) 883-0865

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Ocampo's NPI number?

The NPI number for Peter Ocampo is 1003902149. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Peter Ocampo located?

Peter Ocampo practices at 25 Plaza Dr Ste 9, Scarborough, ME 04074. The listed phone number is (207) 883-0865.

What is Peter Ocampo's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Peter Ocampo enrolled in Medicare?

Yes. Peter Ocampo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Ocampo accept?

Health plans from Anthem Blue Cross and Blue Shield list Peter Ocampo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Ocampo affiliated with any hospitals?

According to CMS data, Peter Ocampo is affiliated with Central Maine Medical Center and Rumford Hospital.

When was this NPI record last updated?

The NPPES record for Peter Ocampo was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.