CARMEN J RINALDI M.D.
NPI 1083694509
Dermatology in Portland, ME

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
50 SEWALL ST, PORTLAND, ME 04102(207) 775-3526 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carmen J Rinaldi M.d. NPPES

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

CARMEN J RINALDI M.D. (NPI 1083694509) is an individual dermatology provider in Portland, Maine, licensed in Maine (018037) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2003).

NPPES Registry Identity

NPI1083694509
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameCARMEN J RINALDICredential: M.D.
Location Address50 SEWALL STPortland, ME 04102-2645
Mailing Address50 Sewall StPortland, ME 04102-2645 · (207) 775-3526
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2003
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 31, 2009
NPI 1083694509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in ME · 018037 Licensed in MN · 48025 Licensed in AZ · 37487
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
50 SEWALL ST, Portland, ME 04102

Other Identifiers 7

Medicare UPINI34173
Medicare ID-Type Unspecified070000703MN
Medicare PINZ119210AZ
Medicaid433819099ME
Medicaid660931700MN
OtherP00449606AZ · Railroad Medicare
Medicaid290678AZ

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

Carmen J Rinaldi 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 ID4183651631
PECOS Enrollment IDI20090626000000
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 21

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
5,721 services3,022 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
783 services160 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.
388 services322 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
267 services207 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
148 services138 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
137 services119 patients

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
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

Dermatology (MOHS-Micrographic Surgery)
50 SEWALL ST
PORTLAND, ME 04102
Physician Assistant (Medical)
50 SEWALL ST, SUITE 301
PORTLAND, ME 04102
Physician Assistant
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Nurse Practitioner (Adult Health)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Nurse Practitioner (Family)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102

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 Carmen Rinaldi's NPI number?

The NPI number for Carmen Rinaldi is 1083694509. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Carmen Rinaldi located?

Carmen Rinaldi practices at 50 Sewall St, Portland, ME 04102. The listed phone number is (207) 775-3526.

What is Carmen Rinaldi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carmen Rinaldi enrolled in Medicare?

Yes. Carmen Rinaldi 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.

When was this NPI record last updated?

The NPPES record for Carmen Rinaldi was last updated on July 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.