DR. ELIZAVETA V ZVIAGUIN DDS, MD
NPI 1104142470
Oral & Maxillofacial Surgery in Portland, ME

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4078 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2025, Jul 17, 2023, Sep 25, 2018 (3 updates tracked since 2018).

About Dr. Elizaveta V Zviaguin Dds, Md NPPES

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

DR. ELIZAVETA V ZVIAGUIN DDS, MD (NPI 1104142470) is an individual oral & maxillofacial surgery provider in Portland, Maine, licensed in Maine (DEN5249) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104142470
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameDR. ELIZAVETA V ZVIAGUINCredential: DDS, MD
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-4078
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2010
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1104142470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in ME · DEN5249✔ Licensed in ME · MD29441✔ Licensed in NM · DD4981
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
22 BRAMHALL ST, Portland, ME 04102

Other Names 1

Former Name (1)Elizaveta V Rogol Dds

Secondary Practice Locations 3

Location 11801 Camino De Salud NE Ste 1100Albuquerque, NM 87102-4516 · Phone (505) 925-7918
Location 2117 W 75th St, Apt 8New York, NY 10023-1823 · Phone (718) 300-2142
Location 3190 Park AvePortland, ME 04102-2910 · Phone (207) 819-6600 · Fax (207) 797-9571

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elizaveta V Zviaguin Dds, Md 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 ID5496008286
PECOS Enrollment IDI20250807004339
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 Elizaveta Zviaguin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Infectious Disease
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group

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

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

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL 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 Elizaveta Zviaguin's NPI number?

The NPI number for Elizaveta Zviaguin is 1104142470. It was assigned to this individual provider in the NPPES registry on April 12, 2010. The provider is also known as Elizaveta V Rogol Dds.

Where is Elizaveta Zviaguin located?

Elizaveta Zviaguin practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-4078.

What is Elizaveta Zviaguin's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Elizaveta Zviaguin enrolled in Medicare?

Yes. Elizaveta Zviaguin 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.

Which organizations bill Medicare for Elizaveta Zviaguin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizaveta Zviaguin reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Unm Medical Group Inc (Albuquerque, NM). 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 Elizaveta Zviaguin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizaveta Zviaguin accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Elizaveta Zviaguin 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 Elizaveta Zviaguin affiliated with any hospitals?

According to CMS data, Elizaveta Zviaguin is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Elizaveta Zviaguin was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.