DR. MICHELLE LEA RAMIREZ D.O.
NPI 1083876296
Urology in Biddeford, ME

Q: What is Michelle Ramirez's NPI number?

The NPI number for Michelle Ramirez is 1083876296. It was assigned to this individual provider in the NPPES registry on June 29, 2008.

Q: What is Michelle Ramirez's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Ramirez was last updated on March 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 29, 2008PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

24 W COLE RD STE 104, BIDDEFORD, ME 04005(160) 228-3207 Get Directions Write a Review

NPPES record last updated: March 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michelle Lea Ramirez D.o. NPPES

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

DR. MICHELLE LEA RAMIREZ D.O. (NPI 1083876296) is an individual urology provider in Biddeford, Maine, licensed in Rhode Island (CDO00756) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and maintains a secondary practice location in West Warwick.

NPPES Registry Identity

NPI1083876296

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameDR. MICHELLE LEA RAMIREZCredential: D.O.

Location Address24 W COLE RD STE 104Biddeford, ME 04005-9404

Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & RelationsFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385

Phone(160) 228-3207

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2007

Enumeration DateJune 29, 2008

Last NPPES UpdateMarch 30, 2019

✔ NPI 1083876296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in RI · CDO00756

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedSurgeryTaxonomy 208600000X · License OT012335 (PA)

24 W COLE RD STE 104, Biddeford, ME 04005

Open in Google Maps ↗

Secondary Practice Location 1

Location 1207 Quaker Ln, 1st FloorWest Warwick, RI 02893-2283 · Phone (401) 828-7110 · Fax (401) 827-6364

Other Identifiers 6

OtherAA346457RI · Harvard Pilgrim

MedicaidMR96210RI

Other4977681RI · Aetna

OtherP01280385RI · Railroad Mcr

Other1083876296RI · Neighborhood Health Plan

Other9586301RI · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Dr. Michelle Lea Ramirez D.o. 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 ID8628207016

PECOS Enrollment IDI20170508000234

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 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.

26 services21 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.

15 services15 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

13 services13 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

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

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers16 claims3,240 services$5.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HEIDI W. HARMON FNP

Nurse Practitioner (Family)

24 W COLE RD STE 104
BIDDEFORD, ME 04005

York County (207) 283-1602

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 Michelle Ramirez's NPI number?

The NPI number for Michelle Ramirez is 1083876296. It was assigned to this individual provider in the NPPES registry on June 29, 2008.

Where is Michelle Ramirez located?

Michelle Ramirez practices at 24 W Cole Rd Ste 104, Biddeford, ME 04005. The listed phone number is (160) 228-3207.

What is Michelle Ramirez's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michelle Ramirez enrolled in Medicare?

Yes. Michelle Ramirez 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 Michelle Ramirez accept?

Health plans from Harvard Pilgrim Health Care list Michelle Ramirez 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 Michelle Ramirez affiliated with any hospitals?

According to CMS data, Michelle Ramirez is affiliated with St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Ramirez was last updated on March 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.