CONNOR PETROVICH MD
NPI 1053061895
Hospitalist in Brunswick, ME

Q: What is Connor Petrovich's NPI number?

The NPI number for Connor Petrovich is 1053061895. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Connor Petrovich's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Petrovich was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment

123 MEDICAL CENTER DR, BRUNSWICK, ME 04011(207) 373-6000(207) 373-6080 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Connor Petrovich Md NPPES

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

CONNOR PETROVICH MD (NPI 1053061895) is an individual hospitalist provider in Brunswick, Maine, licensed in Maine (MD29466) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Ocala.

NPPES Registry Identity

NPI1053061895

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameCONNOR PETROVICHCredential: MD

Location Address123 MEDICAL CENTER DRBrunswick, ME 04011-2652

Mailing Address123 Medical Center DrBrunswick, ME 04011-2652 · (207) 373-6000 · Fax (207) 373-6080

Phone(207) 373-6000

Fax(207) 373-6080

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 25, 2022

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1053061895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in ME · MD29466

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD29466 (ME)

123 MEDICAL CENTER DR, Brunswick, ME 04011

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Secondary Practice Location 1

Location 11431 SW 1st Ave # Blitzer7Ocala, FL 34471-6500 · Phone (352) 401-8311

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

Connor Petrovich 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 ID2961903083

PECOS Enrollment IDI20250829003220

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 2

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200021

Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

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 20

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

ELIZABETH BURGESS HAWKSLEY CRNA

Nurse Anesthetist, Certified Registered