TIN HA NGOC MD
NPI 1073877791
Family Medicine in Gorham, ME

Q: What is Tin Ha Ngoc's NPI number?

The NPI number for Tin Ha Ngoc is 1073877791. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Tin Ha Ngoc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tin Ha Ngoc was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 27, 2012PECOS Enrolled

575 MAIN ST, GORHAM, ME 04038(207) 839-2559(207) 523-1135 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2020, Sep 30, 2015 (2 updates tracked since 2015).

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About Tin Ha Ngoc Md NPPES

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

TIN HA NGOC MD (NPI 1073877791) is an individual family medicine provider in Gorham, Maine, licensed in Maine (MD20742) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073877791

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTIN HA NGOCCredential: MD

Location Address575 MAIN STGorham, ME 04038-2623

Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888 · Fax (207) 828-7850

Phone(207) 839-2559

Fax(207) 523-1135

Sole ProprietorNo

Enumeration DateJune 27, 2012

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1073877791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · MD20742

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

575 MAIN ST, Gorham, ME 04038

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tin Ha Ngoc Md 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

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

Portland Community Health Center

2.7 mi

Federally Qualified Health Center (FQHC)

125 STROUDWATER ST
Westbrook, ME 04092

Reassigned Medicare billing, Maine enrollment
65 clinicians in this Medicare group

NPI 1073144622 (207) 854-0810

Martin's Point Health Care, Inc.

7.9 mi

Family Medicine

331 VERANDA ST
Portland, ME 04104

Reassigned Medicare billing, Maine enrollment
153 clinicians in this Medicare group

NPI 1366474611 (207) 791-3888

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

Areas of Expertise CMS Part B claims 15

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

161 services86 patients

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.

144 services81 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

83 services69 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

69 services64 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

62 services62 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

45 services32 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.

43 services38 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

36 services18 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

31 services28 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

25 services21 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

19 services16 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

19 services17 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

19 services16 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

15 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 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.

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

82%254 patients4/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

81%639 patients4/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

46%147 patients2/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%5,643 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

74%1,063 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

96%238 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

76%1,701 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

98%1,701 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

42%1,701 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

45%1,701 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

DR. MARTIN FRANCIS WESOLOWSKI D.O.

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

SEAN P CAREY DO

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

DR. JACOB ALLAN FAY-SHIELDS MD

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

JENNIFER SCONTRAS MD

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

JONATHAN HARVEY MD

Family Medicine

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

SARAH LEVY APRN-FNP-C

Nurse Practitioner (Family)

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

RACHEL L. SULLIVAN PA-C

Physician Assistant

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

KIMBERLY ANN WELLS FNP

Nurse Practitioner (Family)

575 MAIN ST
GORHAM, ME 04038

Cumberland County (207) 839-2559

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 Tin Ha Ngoc's NPI number?

The NPI number for Tin Ha Ngoc is 1073877791. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Tin Ha Ngoc located?

Tin Ha Ngoc practices at 575 Main St, Gorham, ME 04038. The listed phone number is (207) 839-2559.

What is Tin Ha Ngoc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tin Ha Ngoc enrolled in Medicare?

Yes. Tin Ha Ngoc is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tin Ha Ngoc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tin Ha Ngoc reassigns Medicare benefits to 2 organizations: Portland Community Health Center (Westbrook, ME) and Martin's Point Health Care, Inc. (Portland, 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 Tin Ha Ngoc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tin Ha Ngoc accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Tin Ha Ngoc 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 Tin Ha Ngoc was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.