RENEE S FAGONE NP
NPI 1164653879
Nurse Practitioner - Adult Health in Lewiston, ME

Active since July 29, 2009PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
12 HIGH ST, SUITE 400, LEWISTON, ME 04240(207) 795-5700(207) 795-5727 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renee S Fagone Np NPPES

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

RENEE S FAGONE NP (NPI 1164653879) is an individual adult health provider in Lewiston, Maine, licensed in Maine (CNP91032) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164653879
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRENEE S FAGONECredential: NP
Location Address12 HIGH ST, SUITE 400Lewiston, ME 04240-7676
Mailing Address12 High St, Suite 400Lewiston, ME 04240-7676 · (207) 795-5700 · Fax (207) 795-5727
Fax(207) 795-5727
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 29, 2009
Last NPPES UpdateMay 2, 2017
NPI 1164653879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in ME · CNP91032
12 HIGH ST, Lewiston, ME 04240

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

Renee S Fagone Np 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 ID4880730837
PECOS Enrollment IDI20091006000402
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 3

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 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.
104 services78 patients
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.
94 services64 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.
63 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers20 claims48 services$5.51 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
1 supplier20 claims20 services$180.26 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.

Otolaryngology
12 HIGH ST, STE 102
LEWISTON, ME 04240
Surgery (Trauma Surgery)
12 HIGH ST, STE. 401
LEWISTON, ME 04240
Pharmacist
12 HIGH ST
LEWISTON, ME 04240
Internal Medicine
12 HIGH ST, STE 400
LEWISTON, ME 04240
Physician Assistant
12 HIGH ST, STE. 401
LEWISTON, ME 04240
Otolaryngology
12 HIGH ST, STE. 102
LEWISTON, ME 04240
Pediatrics
12 HIGH ST, STE 301
LEWISTON, ME 04240
Obstetrics & Gynecology
12 HIGH ST, SUITE 200
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 Renee Fagone's NPI number?

The NPI number for Renee Fagone is 1164653879. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Renee Fagone located?

Renee Fagone practices at 12 High St Suite 400, Lewiston, ME 04240. The listed phone number is (207) 795-5700.

What is Renee Fagone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Renee Fagone enrolled in Medicare?

Yes. Renee Fagone 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 Renee Fagone affiliated with any hospitals?

According to CMS data, Renee Fagone is affiliated with Mid Coast Hospital, Central Maine Medical Center and St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Renee Fagone was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.