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LARS M ELLISON MD
NPI 1114902749
Urology in Rockport, ME

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
3 GLEN COVE DR STE 3, ROCKPORT, ME 04856(207) 301-5400(207) 301-5301 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lars M Ellison Md NPPES

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

LARS M ELLISON MD (NPI 1114902749) is an individual urology provider in Rockport, Maine, licensed in Maine (MD17463) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Belfast.

NPPES Registry Identity

NPI1114902749
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameLARS M ELLISONCredential: MD
Location Address3 GLEN COVE DR STE 3Rockport, ME 04856-4232
Mailing Address3 Glen Cove Dr Ste 3Rockport, ME 04856-4232 · (207) 301-5400 · Fax (207) 301-5301
Phone(207) 301-5400
Fax(207) 301-5301
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1995
Enumeration DateDecember 6, 2005
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1114902749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in ME · MD17463✔ Licensed in CA · A83598
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.
3 GLEN COVE DR STE 3, Rockport, ME 04856
Open in Google Maps ↗

Secondary Practice Location 1

Location 1125 Northport Ave Ste 106Belfast, ME 04915-6002 · Phone (207) 505-4080 · Fax (207) 800-4338

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, 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 and accepts Medicare assignment

Lars M Ellison 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 ID1951401827
PECOS Enrollment IDI20070706000014
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

4

Medicare enrollment records show Lars Ellison reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
Same address
General Acute Care Hospital
6 GLEN COVE DR
Rockport, ME 04856
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1841397932 (Maine)
  • 3,140 clinicians in this Medicare group
NPI 1578043378 (207) 596-8000
Penobscot Bay Physicians & Associates
Same address
Multi-Specialty
3 GLEN COVE DR, SUITE 2
Rockport, ME 04856
  • Reassigned Medicare billing, Maine enrollment
  • 71 clinicians in this Medicare group
NPI 1497799720 (207) 596-8910
Mainehealth
16 mi
Critical Access
118 NORTHPORT AVE
Belfast, ME 04915
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Waldo County General Hospital
  • 82 clinicians in this Medicare group
NPI 1841397932 (207) 338-2500
Mainegeneral Medical Center
37 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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 12

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.
77 services76 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.
70 services58 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.
67 services48 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.
25 services25 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
20 services20 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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

Referred Medical Equipment & Supplies CMS DME claims 7

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims2,160 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers18 claims3,880 services$1.71 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers15 claims2,610 services$6.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers28 claims38 services$7.71 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers13 claims84 services$1.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers19 claims320 services$8.20 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 4

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

ELIZABETH A THOMPSON PA-C
Physician Assistant (Surgical)
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400
ROBERT DAVID FISHER MD
Urology
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400
DR. LINDSEY ARDEN KERR MD
Urology
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400
MARSHALL CRAIG HALL MD
Urology
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400

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 Lars Ellison's NPI number?

The NPI number for Lars Ellison is 1114902749. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Lars Ellison located?

Lars Ellison practices at 3 Glen Cove Dr Ste 3, Rockport, ME 04856. The listed phone number is (207) 301-5400.

What is Lars Ellison's specialty?

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

Is Lars Ellison enrolled in Medicare?

Yes. Lars Ellison 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 Lars Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lars Ellison reassigns Medicare benefits to 4 organizations: Mainehealth (Rockport, ME), Penobscot Bay Physicians & Associates (Rockport, ME), Mainehealth (Belfast, ME) and Mainegeneral Medical Center (Augusta, 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 Lars Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lars Ellison accept?

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

According to CMS data, Lars Ellison is affiliated with Maine Medical Center, Penobscot Bay Medical Center, Lincolnhealth and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Lars Ellison was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.