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LAURA J. FAHERTY M.D., M.P.H., M.S.H.
NPI 1053635508
Pediatrics in Portland, ME

Active since March 25, 2010PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2911(617) 568-4780 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2021, Feb 17, 2017 (2 updates tracked since 2017).

About Laura J. Faherty M.d., M.p.h., M.s.h. NPPES

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

LAURA J. FAHERTY M.D., M.P.H., M.S.H. (NPI 1053635508) is an individual pediatrics provider in Portland, Maine, licensed in Maine (MD23809) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053635508
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAURA J. FAHERTYCredential: M.D., M.P.H., M.S.H.
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address22 Bramhall StPortland, ME 04102-3175 · (207) 662-2911 · Fax (617) 568-4780
Phone(207) 662-2911
Fax(617) 568-4780
Sole ProprietorNo
Enumeration DateMarch 25, 2010
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1053635508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · MD23809
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 BRAMHALL ST, Portland, ME 04102
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Other Identifiers 1

Medicaid110095957AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura J. Faherty M.d., M.p.h., M.s.h. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Laura Faherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
Same address
Infectious Disease
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1073701157 (207) 662-3067
Maine Medical Partners
4.3 mi
Family Medicine
1 HARNOIS AVE
Westbrook, ME 04092
  • Reassigned Medicare billing, Maine enrollment
  • 206 clinicians in this Medicare group
NPI 1790896876 (207) 662-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Laura Faherty's NPI number?

The NPI number for Laura Faherty is 1053635508. It was assigned to this individual provider in the NPPES registry on March 25, 2010.

Where is Laura Faherty located?

Laura Faherty practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2911.

What is Laura Faherty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Laura Faherty enrolled in Medicare?

Yes. Laura Faherty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Laura Faherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Faherty reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Maine Medical Partners (Westbrook, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Faherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Faherty accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Laura Faherty 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.

When was this NPI record last updated?

The NPPES record for Laura Faherty was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.