MARC A HODROFF M.D.
NPI 1174560221
Urology in Portland, ME

Q: What is Marc Hodroff's NPI number?

The NPI number for Marc Hodroff is 1174560221. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Marc Hodroff's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Hodroff was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 31, 2006PECOS Enrolled

98.06/100

CMS Quality Rating

195 FORE RIVER PARKWAY, SUITE 310, PORTLAND, ME 04102(207) 523-5901(207) 523-5902 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Marc A Hodroff M.d. NPPES

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

MARC A HODROFF M.D. (NPI 1174560221) is an individual urology provider in Portland, Maine, licensed in Maine (016495) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1174560221

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMARC A HODROFFCredential: M.D.

Location Address195 FORE RIVER PARKWAY, SUITE 310Portland, ME 04102-2715

Mailing Address144 State StPortland, ME 04101-3776 · (207) 879-3000

Phone(207) 523-5901

Fax(207) 523-5902

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998

Enumeration DateMay 31, 2006

Last NPPES UpdateOctober 17, 2008

✔ NPI 1174560221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in ME · 016495

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

195 FORE RIVER PARKWAY, Portland, ME 04102

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Other Identifiers 3

Medicare PINVX1063ME

Medicare PINME0853ME

Medicare UPINH89891ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, 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 (PECOS)

Marc A Hodroff M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062487002

PECOS Enrollment IDI20040901000733

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

Medicare enrollment records show Marc Hodroff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fore River Urology LLC

1.2 mi

Urology

21 DONALD B DEAN DR, SUITE 1
South Portland, ME 04106

Reassigned Medicare billing, Maine enrollment
9 clinicians in this Medicare group

NPI 1003248436 (207) 776-2411

Central Maine Medical Center

31 mi

General Acute Care Hospital

300 MAIN ST
Lewiston, ME 04240

Reassigned Medicare billing, Maine enrollment
920 clinicians in this Medicare group

NPI 1689653487 (207) 795-5646

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 31

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

5,300 services40 patients

Urine hemoglobin level 83069

The urine hemoglobin level test checks for the presence of hemoglobin, a protein in your red blood cells, in your urine. This test helps identify conditions affecting your blood cells or kidneys. It's non-invasive and involves a routine urine sample.

420 services236 patients

Total protein level, urine 84156

The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.

420 services236 patients

Urobilinogen (metabolism substance) level, urine 84580

The Urobilinogen Level Urine test measures the amount of urobilinogen in your urine. Urobilinogen is a substance that your body produces when it breaks down red blood cells. High or low levels could indicate issues with your liver or red blood cells.

420 services236 patients

Ketone bodies analysis, quantitative 82010

Ketone bodies analysis, quantitative, is a blood test that measures the level of ketones in your body. High levels can indicate diabetes, starvation, or other conditions. This test helps doctors monitor your body's energy use and can guide treatment plans.

419 services236 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

419 services236 patients

Glucose (sugar) level on body fluid 82945

The glucose level in body fluid test measures the amount of sugar in your body's fluids. This test is crucial in managing conditions like diabetes. High or low levels could indicate a health issue that needs attention.

419 services236 patients

Body fluid ph level 83986

A body fluid pH level test measures the acidity or alkalinity of your body fluids, such as blood or urine. It's crucial for maintaining good health as it can affect your body's ability to carry out vital functions. Imbalances might indicate a health issue.

419 services236 patients

Chemical analysis using spectrophotometry (light) 84311

Spectrophotometry is a scientific method used to measure how much a chemical substance absorbs light. This helps in identifying and determining the concentration of that substance in a sample. It's non-invasive, accurate, and used in various medical tests.

419 services236 patients

Urinalysis for bacteria 81007

Urinalysis for bacteria is a test that checks your urine for the presence of bacteria. The test involves collecting a urine sample in a sterile container. The sample is then examined in a lab to identify any bacteria. This helps in diagnosing infections in the urinary system.

418 services236 patients

Bilirubin level, total 82247

A total bilirubin level test is a blood test that helps check how well your liver is functioning. It measures bilirubin, a yellow substance your body creates when it breaks down red blood cells. High levels may indicate a problem with your liver or bile duct.

418 services236 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

416 services236 patients

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.

172 services138 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.

158 services116 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

109 services87 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

87 services55 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

71 services58 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

58 services50 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

46 services40 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

28 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services18 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

19 services14 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

19 services16 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

17 services16 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

16 services15 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

16 services15 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

16 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715

This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200039

Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County

Emergency services Birthing friendly

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201310

Location10 Hospital DriveBridgton, ME 04009 · Cumberland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

83%708 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

49%55 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

98%1,683 patients4/55-star benchmark: 100%

e-Prescribing

99%468 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

24%954 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 32% · 573 patients

30%573 patients

Provide Patients Electronic Access to Their Health Information

59%427 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

58%26 patients2/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 721 patients

Patients totalRate: 2% · 723 patients

1%723 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers36 claims10,050 services$1.72 avg. paid by Medicare

Intermittent urinary catheter, with insertion supplies A4353

DME-Orthotic Devices · category DF008N

1 supplier13 claims1,950 services$6.66 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 6

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

DR. JOHN HENRY DORSEY JR. DPM

Podiatrist (Foot & Ankle Surgery)

195 FORE RIVER PARKWAY, SUITE 120
PORTLAND, ME 04102

Cumberland County (207) 761-3889

MELISSA L. TSOMIDES PA-C

Physician Assistant (Surgical)

195 FORE RIVER PARKWAY, SUITE 420
PORTLAND, ME 04102

Cumberland County (207) 878-3177

PORTLAND SURGICAL ASSOCIATES

Surgery

195 FORE RIVER PARKWAY, SUITE 420
PORTLAND, ME 04102

Cumberland County (207) 878-3177

ANN L. TRASK MD

Obstetrics & Gynecology

195 FORE RIVER PARKWAY, SUITE 440
PORTLAND, ME 04102

Cumberland County (207) 828-5606

ALL ABOUT WOMEN PA

Obstetrics & Gynecology

195 FORE RIVER PARKWAY, SUITE 440
PORTLAND, ME 04102

Cumberland County (207) 828-5606

ROSA MOJDEHI M.D.C.M.

Obstetrics & Gynecology

195 FORE RIVER PARKWAY, ALL ABOUT WOMEN
PORTLAND, ME 04102

Cumberland County (207) 553-6920

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 Marc Hodroff's NPI number?

The NPI number for Marc Hodroff is 1174560221. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Marc Hodroff located?

Marc Hodroff practices at 195 Fore River Parkway Suite 310, Portland, ME 04102. The listed phone number is (207) 523-5901.

What is Marc Hodroff's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Marc Hodroff enrolled in Medicare?

Yes. Marc Hodroff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marc Hodroff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Hodroff reassigns Medicare benefits to 2 organizations: Fore River Urology LLC (South Portland, ME) and Central Maine Medical Center (Lewiston, ME). 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 Marc Hodroff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Hodroff accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Marc Hodroff 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 Marc Hodroff affiliated with any hospitals?

According to CMS data, Marc Hodroff is affiliated with Northern Light Health, Maine Medical Center, Mid Coast Hospital, Maine General Medical Center and Bridgton Hospital.

When was this NPI record last updated?

The NPPES record for Marc Hodroff was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.