DOUGLAS NAM MD
NPI 1114999364
Emergency Medicine in Lewiston, ME

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
91 CAMPUS AVE, LEWISTON, ME 04240(207) 777-8120(207) 777-8984 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Nam Md NPPES

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

DOUGLAS NAM MD (NPI 1114999364) is an individual emergency medicine provider in Lewiston, Maine, licensed in Maine (MD15950) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1114999364
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS NAMCredential: MD
Location Address91 CAMPUS AVELewiston, ME 04240
Mailing AddressPo Box 7291Lewiston, ME 04243-7291 · (207) 777-8950 · Fax (207) 777-8800
Fax(207) 777-8984
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1998
Enumeration DateFebruary 2, 2006
Last NPPES UpdateApril 11, 2019
NPI 1114999364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in ME · MD15950
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
91 CAMPUS AVE, Lewiston, ME 04240

Secondary Practice Location 1

Location 1300 Main StLewiston, ME 04240-7007 · Phone (207) 795-0111 · Fax (207) 753-7201

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

Douglas Nam 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 ID4789628017
PECOS Enrollment IDI20050616000857
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 6

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
101 services94 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services38 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 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 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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 16

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

Physician Assistant (Medical)
91 CAMPUS AVE
LEWISTON, ME 04240
Emergency Medicine
91 CAMPUS AVE
LEWISTON, ME 04240
Nurse Practitioner (Family)
91 CAMPUS AVE
LEWISTON, ME 04240
Nurse Practitioner (Family)
91 CAMPUS AVE
LEWISTON, ME 04240
Emergency Medicine
91 CAMPUS AVE
LEWISTON, ME 04240
Nurse Practitioner (Family)
91 CAMPUS AVE
LEWISTON, ME 04240
Nurse Practitioner (Family)
91 CAMPUS AVE
LEWISTON, ME 04240
Nurse Practitioner (Family)
91 CAMPUS AVE
LEWISTON, ME 04240

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 Douglas Nam's NPI number?

The NPI number for Douglas Nam is 1114999364. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Douglas Nam located?

Douglas Nam practices at 91 Campus Ave, Lewiston, ME 04240. The listed phone number is (207) 777-8120.

What is Douglas Nam's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Nam enrolled in Medicare?

Yes. Douglas Nam 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.

Is Douglas Nam affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Douglas Nam was last updated on April 11, 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.