PAMELA EGAN M.D.
NPI 1073874509
Internal Medicine - Hematology & Oncology in South Portland, ME

Active since May 31, 2012PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106(207) 661-0200 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Egan M.d. NPPES

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

PAMELA EGAN M.D. (NPI 1073874509) is an individual hematology & oncology provider in South Portland, Maine, licensed in Rhode Island (MD15122) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of State University Of Ny Upstate Medical University (2012).

NPPES Registry Identity

NPI1073874509
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NamePAMELA EGANCredential: M.D.
Location Address265 WESTERN AVE STE 2South Portland, ME 04106-2458
Mailing Address265 Western Ave Ste 2South Portland, ME 04106-2458 · (207) 661-0200
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2012
Enumeration DateMay 31, 2012
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
NPI 1073874509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in RI · MD15122
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP02578 (RI)
265 WESTERN AVE STE 2, South Portland, ME 04106

Accepted 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

Pamela Egan 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 ID345466124
PECOS Enrollment IDI20231005002939
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
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.

Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Physician Assistant
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Medical Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106

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 Pamela Egan's NPI number?

The NPI number for Pamela Egan is 1073874509. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Pamela Egan located?

Pamela Egan practices at 265 Western Ave Ste 2, South Portland, ME 04106. The listed phone number is (207) 661-0200.

What is Pamela Egan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Pamela Egan enrolled in Medicare?

Yes. Pamela Egan 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 Pamela Egan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Pamela Egan 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 Pamela Egan affiliated with any hospitals?

According to CMS data, Pamela Egan is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Pamela Egan was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.