MARK T. MAINELLA D.O.
NPI 1174520852
Surgery in Damariscotta, ME
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
Specialties & Licenses
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Mainella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Damariscotta, ME 04543
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1912094806 (Maine)
- 3,140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MEPhysician 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.
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.
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.
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.
Which organization bills Medicare for Mark Mainella's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mainella reassigns Medicare benefits to Mainehealth (Damariscotta, ME). The 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 Mark Mainella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Mainella accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health 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 8 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.
# Mark T. Mainella, D.O. · NPI 1174520852
Surgery physician in Damariscotta, Maine. Individual provider, active in the CMS NPPES registry since July 7, 2005.
## Identity
- **NPI:** 1174520852 (Entity type: Individual)
- **Enumerated:** July 7, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** DO1799 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 24 MILES CENTER WAY, Damariscotta, ME 04543-4047
- **Phone:** (207) 563-4252 · **Fax:** (207) 563-4275
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mainehealth (NPI 1629558432, Damariscotta, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 1996
## Record status
- **NPPES last updated:** October 9, 2018
- **Other identifiers:** Medicaid 283930099 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1174520852) · Data from the CMS NPPES public registry.