DR. DAVID J KOFFMAN M. D.
NPI 1164402624
Internal Medicine in Bangor, ME

Q: What is David Koffman's NPI number?

The NPI number for David Koffman is 1164402624. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is David Koffman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Koffman was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 20, 2006PECOS EnrolledAccepts Medicare Assignment

900 BROADWAY, BANGOR, ME 04401(207) 907-3300(207) 907-1923 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 3, 2022, Dec 9, 2019 (2 updates tracked since 2019).

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About Dr. David J Koffman M. D. NPPES

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

DR. DAVID J KOFFMAN M. D. (NPI 1164402624) is an individual internal medicine provider in Bangor, Maine, licensed in Maine (MD14488) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of University Of Massachusetts Medical School (1993).

NPPES Registry Identity

NPI1164402624

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. DAVID J KOFFMANCredential: M. D.

Location Address900 BROADWAYBangor, ME 04401-1900

Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800

Phone(207) 907-3300

Fax(207) 907-1923

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1993

Enumeration DateJanuary 20, 2006

Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1164402624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ME · MD14488

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.

900 BROADWAY, Bangor, ME 04401

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Other Identifiers 1

Medicaid000210032ME

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. David J Koffman 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 ID8426092198

PECOS Enrollment IDI20050614000332

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 2

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.

46 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200001

Location360 BroadwayBangor, ME 04401 · Penobscot County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers16 claims16 services$12.13 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers15 claims90 services$1.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$75.68 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$202.13 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 20

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

HAILEY E BLACKWOOD FNPC

Nurse Practitioner

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

JOSHUA JAMES DUCHENE DO

Family Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3777

MARILYN L MICHAUD FNP

Nurse Practitioner (Family)

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

ILSA ANNETTA SHULMAN MD

Internal Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

RODRIGO ROXAS MD

Family Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3777

KERRY RIKER M. D.

Internal Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

ZACHARY MITCHELL GREENIER PA

Physician Assistant

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

MRS. ADRIENNE MIRANDA EWER FNP

Nurse Practitioner (Family)

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

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 David Koffman's NPI number?

The NPI number for David Koffman is 1164402624. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is David Koffman located?

David Koffman practices at 900 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3300.

What is David Koffman's specialty?

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

Is David Koffman enrolled in Medicare?

Yes. David Koffman 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 David Koffman affiliated with any hospitals?

According to CMS data, David Koffman is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for David Koffman was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.