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EVGENY KIRSANOV M.D.
NPI 1053549295
Internal Medicine in Presque Isle, ME

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
140 ACADEMY ST, PRESQUE ISLE, ME 04769(207) 768-4000 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evgeny Kirsanov M.d. NPPES

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

EVGENY KIRSANOV M.D. (NPI 1053549295) is an individual internal medicine provider in Presque Isle, Maine, licensed in Maine (MD19390) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053549295
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEVGENY KIRSANOVCredential: M.D.
Location Address140 ACADEMY STPresque Isle, ME 04769-3102
Mailing Address140 Academy StPresque Isle, ME 04769-3102 · (207) 768-4000
Phone(207) 768-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 25, 2009
Last NPPES UpdateNovember 4, 2013
✔ NPI 1053549295 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 · MD19390
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.
140 ACADEMY ST, Presque Isle, ME 04769
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Other Identifiers 2

Medicaid1053549295ME
Medicare PIN003100101ME

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

Evgeny Kirsanov M.d. 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 ID941455091
PECOS Enrollment IDI20130221000439
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
107 services96 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

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

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04769 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.

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.

AMANDA HOTHAM MS, SLP
Speech-Language Pathologist
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4735
RALPH B MCPHERSON LCSW
Social Worker (Clinical)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4256
GEORGE MONTEE PAC
Physician Assistant
140 ACADEMY ST, SUITE3
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-3011
DR. RAM MOHAN RAO VENEPALLY MD
Hospitalist
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4412
DR. RONALD ARTHUR ROHE MD
Internal Medicine (Hematology & Oncology)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-5215
MARY T HAMILTON CNM
Advanced Practice Midwife
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-5944
DR. JOHN C GERSHMAN-TEWKSBURY MD
Pathology (Clinical Pathology/Laboratory Medicine)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4209
STEPHEN PORTER FNP
Nurse Practitioner (Family)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-3142

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 Evgeny Kirsanov's NPI number?

The NPI number for Evgeny Kirsanov is 1053549295. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Evgeny Kirsanov located?

Evgeny Kirsanov practices at 140 Academy St, Presque Isle, ME 04769. The listed phone number is (207) 768-4000.

What is Evgeny Kirsanov's specialty?

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

Is Evgeny Kirsanov enrolled in Medicare?

Yes. Evgeny Kirsanov 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 Evgeny Kirsanov affiliated with any hospitals?

According to CMS data, Evgeny Kirsanov is affiliated with Northern Light A R Gould Hospital, Northern Light Eastern Maine Medical Center and Houlton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Evgeny Kirsanov was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.