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MARK T. MAINELLA D.O.
NPI 1174520852
Surgery in Damariscotta, ME

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543(207) 563-4252(207) 563-4275 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark T. Mainella D.o. NPPES

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

MARK T. MAINELLA D.O. (NPI 1174520852) is an individual surgery provider in Damariscotta, Maine, licensed in Maine (DO1799) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Lincolnhealth, and is a graduate of University Of New England, College Of Osteo Medicine (1996).

NPPES Registry Identity

NPI1174520852
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARK T. MAINELLACredential: D.O.
Location Address24 MILES CENTER WAYDamariscotta, ME 04543-4047
Mailing Address24 Miles Center WayDamariscotta, ME 04543-4047 · (207) 563-4252 · Fax (207) 563-4275
Phone(207) 563-4252
Fax(207) 563-4275
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1996
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 9, 2018
✔ NPI 1174520852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ME · DO1799✔ Licensed in ME · 1799
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
24 MILES CENTER WAY, Damariscotta, ME 04543
Open in Google Maps ↗

Other Identifiers 1

Medicaid283930099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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

Mark T. Mainella D.o. 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 ID3971571811
PECOS Enrollment IDI20040920000448
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.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04543 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
$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

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.

MR. DUSTIN B PRZYBYLSKI LCSW
Social Worker (Clinical)
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (844) 292-0111
MICHAEL SCOTT BALDWIN PA
Physician Assistant (Surgical)
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-1040
ROBERT N. HUNOLD D.O.
Family Medicine
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4250
DR. VALERIE LYNNE DONOHUE M.D.
Family Medicine
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4250
TAYLOR LYNN CHASE AGACNP
Nurse Practitioner (Acute Care)
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4252
JESSE MICHAEL CHENEY PA-C
Physician Assistant (Medical)
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4252
JASON CIENEGA
Family Medicine
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4250
MICHELLE MARIE SMITH FNP-BC
Nurse Practitioner (Family)
24 MILES CENTER WAY
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4780

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 Mark Mainella's NPI number?

The NPI number for Mark Mainella is 1174520852. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Mark Mainella located?

Mark Mainella practices at 24 Miles Center Way, Damariscotta, ME 04543. The listed phone number is (207) 563-4252.

What is Mark Mainella's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Mainella enrolled in Medicare?

Yes. Mark Mainella 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.

What insurance does Mark Mainella accept?

Health plans from Harvard Pilgrim Health Care list Mark Mainella 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 Mark Mainella affiliated with any hospitals?

According to CMS data, Mark Mainella is affiliated with Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Mark Mainella was last updated on October 9, 2018. 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.