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

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: July 26, 2026.

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
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

Other Identifiers 3

Medicare PINVX1063ME
Medicare PINME0853ME
Medicare UPINH89891ME

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York 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

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
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Podiatrist (Foot & Ankle Surgery)
195 FORE RIVER PARKWAY, SUITE 120
PORTLAND, ME 04102
Physician Assistant (Surgical)
195 FORE RIVER PARKWAY, SUITE 420
PORTLAND, ME 04102
Surgery
195 FORE RIVER PARKWAY, SUITE 420
PORTLAND, ME 04102
Obstetrics & Gynecology
195 FORE RIVER PARKWAY, SUITE 440
PORTLAND, ME 04102
Obstetrics & Gynecology
195 FORE RIVER PARKWAY, SUITE 440
PORTLAND, ME 04102
Obstetrics & Gynecology
195 FORE RIVER PARKWAY, ALL ABOUT WOMEN
PORTLAND, ME 04102

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.

What insurance does Marc Hodroff accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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, York Hospital, Mid Coast Hospital 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 with the weekly NPPES data releases published by CMS.