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ELIZABETH LAVERACK M. D.
NPI 1053391300
Internal Medicine in Ellsworth, ME

Active since January 20, 2006PECOS Enrolled
88/100
CMS Quality Rating
50 UNION ST, ELLSWORTH, ME 04605(207) 664-5311(207) 664-5305 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 3, 2022, Feb 13, 2020 (2 updates tracked since 2020).

About Elizabeth Laverack M. D. NPPES

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

ELIZABETH LAVERACK M. D. (NPI 1053391300) is an individual internal medicine provider in Ellsworth, Maine, licensed in Maine (MD13531) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1053391300
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELIZABETH LAVERACKCredential: M. D.
Location Address50 UNION STEllsworth, ME 04605-1534
Mailing Address50 Union StEllsworth, ME 04605-1534 · (207) 664-5311 · Fax (207) 664-5305
Phone(207) 664-5311
Fax(207) 664-5305
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1053391300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD13531
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
50 UNION ST, Ellsworth, ME 04605
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Secondary Practice Location 1

Location 1900 BroadwayBangor, ME 04401-1900 · Phone (207) 907-3300 · Fax (207) 907-1923

Other Identifiers 1

Medicaid000210032ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Laverack M. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04605 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
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 20

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

JESSE R CLOUTIER PA
Physician Assistant
50 UNION ST, SUITE 2100
ELLSWORTH, ME 04605
Hancock County (207) 664-5770
MERCEDES LIM ANG M.D.
Internal Medicine
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5311
MAINE COAST HEALTHCARE CORPORATION
Clinic/Center (Dental)
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5304
MAINE MEDICAL SERVICES LLC
Hospitalist
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (865) 693-1000
JUDITH A DUNIPACE MD
Anesthesiology (Pain Medicine)
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5311
COASTAL ANESTHESIA, PA
Anesthesiology
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 644-5356
EMILY SELTZER MD
Emergency Medicine
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5311
BRITTANY NURMUKHAMEDOV
Nurse Practitioner (Obstetrics & Gynecology)
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5650

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 Elizabeth Laverack's NPI number?

The NPI number for Elizabeth Laverack is 1053391300. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Elizabeth Laverack located?

Elizabeth Laverack practices at 50 Union St, Ellsworth, ME 04605. The listed phone number is (207) 664-5311.

What is Elizabeth Laverack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elizabeth Laverack enrolled in Medicare?

Yes. Elizabeth Laverack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Laverack was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.