JAMES POULIN MD
NPI 1184249906
Family Medicine in Lewiston, ME

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
76 HIGH ST, LEWISTON, ME 04240(207) 795-2800 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2020, Jun 9, 2020 (2 updates tracked since 2020).

About James Poulin Md NPPES

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

JAMES POULIN MD (NPI 1184249906) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (EC201021) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of Tufts University School Of Medicine (2020).

NPPES Registry Identity

NPI1184249906
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES POULINCredential: MD
Location Address76 HIGH STLewiston, ME 04240-7649
Mailing Address76 High StLewiston, ME 04240-7649
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateJune 9, 2020
Last NPPES UpdateJune 22, 20202 updates tracked since enumeration
NPPES CertifiedJune 22, 2020
NPI 1184249906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · EC201021
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
76 HIGH ST, Lewiston, ME 04240

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 and accepts Medicare assignment

James Poulin Md 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 ID6608290192
PECOS Enrollment IDI20230828003537
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 2

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 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.
17 services17 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers12 claims12 services$170.11 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.

Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Counselor (Professional)
76 HIGH ST
LEWISTON, ME 04240
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Family Medicine
76 HIGH ST
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 James Poulin's NPI number?

The NPI number for James Poulin is 1184249906. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is James Poulin located?

James Poulin practices at 76 High St, Lewiston, ME 04240. The listed phone number is (207) 795-2800.

What is James Poulin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Poulin enrolled in Medicare?

Yes. James Poulin 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 James Poulin accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list James Poulin 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 James Poulin affiliated with any hospitals?

According to CMS data, James Poulin is affiliated with St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Poulin was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.