MR. GAVIN M DUCKER MD
NPI 1013062348
Family Medicine in Scarborough, ME

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
300 PROFESSIONAL DR STE 2C, SCARBOROUGH, ME 04074(207) 883-7926 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gavin M Ducker Md NPPES

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

MR. GAVIN M DUCKER MD (NPI 1013062348) is an individual family medicine provider in Scarborough, Maine, licensed in Maine (MD015525) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Unity.

NPPES Registry Identity

NPI1013062348
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. GAVIN M DUCKERCredential: MD
Location Address300 PROFESSIONAL DR STE 2CScarborough, ME 04074-8897
Mailing Address174 Kennedy Memorial DrWaterville, ME 04901-5134 · (207) 861-3338 · Fax (207) 861-3281
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 25, 2007
Last NPPES UpdateApril 8, 2024
NPPES CertifiedApril 8, 2024
NPI 1013062348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · MD015525
Definition
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.
300 PROFESSIONAL DR STE 2C, Scarborough, ME 04074

Secondary Practice Location 1

Location 180 MAIN STREETUNITY, ME 04988-0000 · Phone (207) 948-2100 · Fax (207) 948-3018

Other Identifiers 1

Medicaid116010200ME

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

Mr. Gavin M Ducker Md 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 ID8224000955
PECOS Enrollment IDI20040811001426
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services81 patients
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.
31 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
300 PROFESSIONAL DR STE 2C
SCARBOROUGH, ME 04074

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 Gavin Ducker's NPI number?

The NPI number for Gavin Ducker is 1013062348. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Gavin Ducker located?

Gavin Ducker practices at 300 Professional Dr Ste 2C, Scarborough, ME 04074. The listed phone number is (207) 883-7926.

What is Gavin Ducker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gavin Ducker enrolled in Medicare?

Yes. Gavin Ducker 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.

Is Gavin Ducker affiliated with any hospitals?

According to CMS data, Gavin Ducker is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Gavin Ducker was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.