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LAURA ANNE DALSANTO M.D.
NPI 1154686582
Internal Medicine in Brunswick, ME

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011(207) 406-7872 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2024, Nov 20, 2023, Jul 6, 2020 (3 updates tracked since 2020).

About Laura Anne Dalsanto M.d. NPPES

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

LAURA ANNE DALSANTO M.D. (NPI 1154686582) is an individual internal medicine provider in Brunswick, Maine, licensed in South Carolina (35003) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Ridges Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154686582
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAURA ANNE DALSANTOCredential: M.D.
Location Address123 MEDICAL CENTER DRBrunswick, ME 04011-2652
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7303
Phone(207) 406-7872
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012
Enumeration DateJuly 11, 2012
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1154686582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in SC · 35003✔ Licensed in ME · MD21191
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD21191 (ME), DR.0071979 (CO)
123 MEDICAL CENTER DR, Brunswick, ME 04011
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11801 Sunset Blvd, Int Med -Columbia, SC 29203 · Phone (803) 434-4197 · Fax (803) 434-4160
Location 211600 W 2nd PlLakewood, CO 80228-1527 · Phone (720) 321-0000 · Fax (720) 321-1759
Location 314 Richland Medical Park DrColumbia, SC 29203-6877 · Phone (803) 434-6771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, 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

Laura Anne Dalsanto 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 ID9032425178
PECOS Enrollment IDI20150903001182
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 Laura Dalsanto 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
Multi-Specialty
123 MEDICAL CENTER DR
Brunswick, ME 04011
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1902422561 (207) 729-0181
Cogent Healthcare Of Georgia PC
1,065 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, South Carolina enrollment
  • 268 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200
Fairview Health Services
1,140 mi
General Acute Care Hospital
5200 FAIRVIEW BLVD
Wyoming, MN 55092
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1083692941 (651) 982-7000
Catholic Health Initiatives Colorado
1,741 mi
Family Medicine
1224 EDISON ST
Brush, CO 80723
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
NPI 1043004377 (970) 542-4390

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
152 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
87 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services67 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.
50 services48 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

ELIZABETH BURGESS HAWKSLEY CRNA
Nurse Anesthetist, Certified Registered
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
PEGGY BEAULIEU SLP
Speech-Language Pathologist
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6175
DR. JONATHAN TAYLOR GRAMMER MD
Emergency Medicine
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
DR. KEVIN DUMAS PHARMD
Pharmacy (Institutional Pharmacy)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6576
PHILIP S CRICHTON M.D.
Radiology (Diagnostic Radiology)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6637
ANDREW L RABINOWITZ MD
Anesthesiology
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
DR. NIKLAS GLENESK MD
Anesthesiology
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000
ABIGAIL MEAD RIVERS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
123 MEDICAL CENTER DR
BRUNSWICK, ME 04011
Cumberland County (207) 373-6000

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 Laura Dalsanto's NPI number?

The NPI number for Laura Dalsanto is 1154686582. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Laura Dalsanto located?

Laura Dalsanto practices at 123 Medical Center Dr, Brunswick, ME 04011. The listed phone number is (207) 406-7872.

What is Laura Dalsanto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Laura Dalsanto enrolled in Medicare?

Yes. Laura Dalsanto 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 Laura Dalsanto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Dalsanto reassigns Medicare benefits to 4 organizations: Mainehealth (Brunswick, ME), Cogent Healthcare Of Georgia PC (Macon, GA), Fairview Health Services (Wyoming, MN) and Catholic Health Initiatives Colorado (Brush, CO). 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 Laura Dalsanto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Dalsanto accept?

Health plans from Sanford Health Plan and Taro Health list Laura Dalsanto 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 Laura Dalsanto affiliated with any hospitals?

According to CMS data, Laura Dalsanto is affiliated with M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Laura Dalsanto was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.