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DIANNA STADE GAGNON MD
NPI 1184283665
Family Medicine in Westbrook, ME

Active since June 10, 2019Opted out of Medicare · through Nov 11, 2026
90 BRIDGE ST STE 432, WESTBROOK, ME 04092(207) 619-0315(207) 481-8369 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Apr 27, 2022, Jun 10, 2019 (3 updates tracked since 2019).

About Dianna Stade Gagnon Md NPPES

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

DIANNA STADE GAGNON MD (NPI 1184283665) is an individual family medicine provider in Westbrook, Maine, licensed in Maine (MD25864) and active in the NPI registry since June 2019. She has opted out of Medicare through November 11, 2026 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184283665
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIANNA STADE GAGNONCredential: MD
Location Address90 BRIDGE ST STE 432Westbrook, ME 04092-2948
Mailing Address90 Bridge St Ste 432Westbrook, ME 04092-2948 · (207) 619-0315 · Fax (207) 481-8369
Phone(207) 619-0315
Fax(207) 481-8369
Sole ProprietorNo
Enumeration DateJune 10, 2019
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1184283665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD25864
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License EC191062 (ME)
90 BRIDGE ST STE 432, Westbrook, ME 04092
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Other Names 1

Former Name (1)Dianna Stade Md

Secondary Practice Locations 3

Location 135 Medical Center PkwyAugusta, ME 04330-8160 · Phone (207) 626-1000
Location 2272 Congress StPortland, ME 04101-3637 · Phone (207) 874-2466
Location 315 E Chestnut StAugusta, ME 04330-5736 · Phone (207) 626-1561 · Fax (207) 626-1849

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dianna Stade Gagnon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 11, 2022 through November 11, 2026.

Opt-Out Effective DateNovember 11, 2022
Opt-Out In Effect ThroughNovember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04092 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Dianna Gagnon's NPI number?

The NPI number for Dianna Gagnon is 1184283665. It was assigned to this individual provider in the NPPES registry on June 10, 2019. The provider is also known as Dianna Stade MD.

Where is Dianna Gagnon located?

Dianna Gagnon practices at 90 Bridge St Ste 432, Westbrook, ME 04092. The listed phone number is (207) 619-0315.

What is Dianna Gagnon's specialty?

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

Is Dianna Gagnon enrolled in Medicare?

No. Dianna Gagnon has opted out of Medicare through November 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dianna Gagnon was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.