SUSAN MIESFELDT MD
NPI 1043281959
Internal Medicine - Medical Oncology in Scarborough, ME

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 CAMPUS DRIVE, SUITE 110, SCARBOROUGH, ME 04074(207) 396-7678(207) 396-8766 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Miesfeldt Md NPPES

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

SUSAN MIESFELDT MD (NPI 1043281959) is an individual medical oncology provider in Scarborough, Maine, licensed in Maine (MD16381) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Tufts University School Of Medicine (1984).

NPPES Registry Identity

NPI1043281959
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameSUSAN MIESFELDTCredential: MD
Location Address100 CAMPUS DRIVE, SUITE 110Scarborough, ME 04074
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 396-8766
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1984
Enumeration DateJanuary 30, 2006
Last NPPES UpdateNovember 26, 2014
NPI 1043281959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in ME · MD16381
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
100 CAMPUS DRIVE, Scarborough, ME 04074

Other Identifiers 12

Other022168ME · Anthem Bcbs
Medicare PINME089102ME
Other3394475ME · Aetna Hmo
Other7429082ME · Aetna
Medicare PINUX4137ME
Medicaid277890099ME
Medicare PINME089101ME
Other30204925NH · Nh Medicaid
Other7338683ME · Cigna
OtherP00142224ME · Railroad Medicare
Medicare PINME0891ME
Medicare UPINB77087

Accepted 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

Susan Miesfeldt 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 ID4587631635
PECOS Enrollment IDI20040916000807
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 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Pediatrics (Pediatric Hematology-Oncology)
100 CAMPUS DRIVE, UNIT 107
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DRIVE, SUITE 121
SCARBOROUGH, ME 04074
Pediatrics
100 CAMPUS DRIVE, UNIT 107
SCARBOROUGH, ME 04074
Internal Medicine (Hematology & Oncology)
100 CAMPUS DRIVE, SUITE 108
SCARBOROUGH, ME 04074
Internal Medicine (Hematology)
100 CAMPUS DRIVE, SUITE 108
SCARBOROUGH, ME 04074
Nurse Practitioner (Pediatrics, Critical Care)
100 CAMPUS DRIVE, SUITE 107
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DRIVE, SUITE 121
SCARBOROUGH, ME 04074
Social Worker
100 CAMPUS DRIVE, UNIT 107
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 Susan Miesfeldt's NPI number?

The NPI number for Susan Miesfeldt is 1043281959. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Susan Miesfeldt located?

Susan Miesfeldt practices at 100 Campus Drive Suite 110, Scarborough, ME 04074. The listed phone number is (207) 396-7678.

What is Susan Miesfeldt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Susan Miesfeldt enrolled in Medicare?

Yes. Susan Miesfeldt 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 Susan Miesfeldt accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Susan Miesfeldt 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 Susan Miesfeldt affiliated with any hospitals?

According to CMS data, Susan Miesfeldt is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Miesfeldt was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.