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DR. DANIEL ENRIQUE LOMELIN MD, MPH
NPI 1043832058
Family Medicine in Southwest Harbor, ME

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment
88/100
CMS Quality Rating
16 COMMUNITY LN, SOUTHWEST HARBOR, ME 04679(207) 244-5630(207) 801-5802 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, May 13, 2020 (2 updates tracked since 2020).

About Dr. Daniel Enrique Lomelin Md, Mph NPPES

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

DR. DANIEL ENRIQUE LOMELIN MD, MPH (NPI 1043832058) is an individual family medicine provider in Southwest Harbor, Maine, licensed in Maine (MD27339) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2020).

NPPES Registry Identity

NPI1043832058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL ENRIQUE LOMELINCredential: MD, MPH
Location Address16 COMMUNITY LNSouthwest Harbor, ME 04679-4273
Mailing AddressPo Box 8Bar Harbor, ME 04609-0008 · (207) 288-5802 · Fax (207) 288-8620
Phone(207) 244-5630
Fax(207) 801-5802
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2020
Enumeration DateMay 13, 2020
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1043832058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ME · MD27339✔ Licensed in NE · 35702
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.
16 COMMUNITY LN, Southwest Harbor, ME 04679
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Other Identifiers 1

OtherMD27339ME · Maine Board Of Licensure In Medicine

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

Dr. Daniel Enrique Lomelin Md, Mph 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 ID7416376439
PECOS Enrollment IDI20230914002764
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.

Hospital Affiliations CMS Care Compare 3

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Mount Desert Island Hospital

Critical Access Hospitals · Bar Harbor, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201304
Location10 Wayman Lane, PO Box 8Bar Harbor, ME 04609 · Hancock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04679 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.73
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

STEPHEN A KOSCHERAK PHD
Psychologist (Clinical)
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 244-5630
MADDREY ALICIA COOVER FNP
Nurse Practitioner (Family)
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 244-5630
DR. PETER H WITHAM MD
Internal Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 244-5630
MICHAEL A HENISER DO
Family Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 244-5630
DR. JOHN L URBANEK D.O.
Emergency Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 244-5630
MS. ANN M DUNDON PA-C
Physician Assistant (Medical)
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 288-5081
JULIAN P KUFFLER M.D.
Family Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 244-5630
TANYA HANKE DO
Family Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Hancock County (207) 285-6324

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 Daniel Lomelin's NPI number?

The NPI number for Daniel Lomelin is 1043832058. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Daniel Lomelin located?

Daniel Lomelin practices at 16 Community Ln, Southwest Harbor, ME 04679. The listed phone number is (207) 244-5630.

What is Daniel Lomelin's specialty?

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

Is Daniel Lomelin enrolled in Medicare?

Yes. Daniel Lomelin 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 Daniel Lomelin accept?

Health plans from Anthem Blue Cross and Blue Shield list Daniel Lomelin 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 Daniel Lomelin affiliated with any hospitals?

According to CMS data, Daniel Lomelin is affiliated with Northern Light Eastern Maine Medical Center, Northern Light Maine Coast Hospital and Mount Desert Island Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Lomelin was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.