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ANTHONY FOIANINI MD
NPI 1184883902
Emergency Medicine in Lewiston, ME

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
300 MAIN ST, LEWISTON, ME 04240(207) 795-0111 Get Directions Write a Review

NPPES record last updated: June 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Foianini Md NPPES

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

ANTHONY FOIANINI MD (NPI 1184883902) is an individual emergency medicine provider in Lewiston, Maine, licensed in Maine (018587) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (2008).

NPPES Registry Identity

NPI1184883902
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTHONY FOIANINICredential: MD
Location Address300 MAIN STLewiston, ME 04240-7027
Mailing Address300 Main StLewiston, ME 04240-7027 · (207) 795-0111
Phone(207) 795-0111
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2008
Enumeration DateJune 6, 2008
Last NPPES UpdateJune 28, 2011
✔ NPI 1184883902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ME · 018587
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
300 MAIN ST, Lewiston, ME 04240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Anthony Foianini 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 ID1951588318
PECOS Enrollment IDI20110613000119
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 9

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
301 services296 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
145 services143 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services47 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.
42 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services18 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

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

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 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.

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

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.

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
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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.

ANGELA WOOD CRNA
Nurse Anesthetist, Certified Registered
300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
DANA MCCOY PT
Physical Therapist
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
ELIZABETH ROBIN STOKEM SLP
Speech-Language Pathologist
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2590
ASHA HASSAN MOHAMUD MD
Internal Medicine
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
JERROLD T. GALE M.D.
Radiology (Diagnostic Radiology)
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2400
GLENDA MICHELLE KRIBEL CRNA
Nurse Anesthetist, Certified Registered
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
TASHA MARIE DUVAL DO
Obstetrics & Gynecology
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-5770
TAMARA WILLOUGHBY MD
Emergency Medicine
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-5011

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 Anthony Foianini's NPI number?

The NPI number for Anthony Foianini is 1184883902. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Anthony Foianini located?

Anthony Foianini practices at 300 Main St, Lewiston, ME 04240. The listed phone number is (207) 795-0111.

What is Anthony Foianini's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anthony Foianini enrolled in Medicare?

Yes. Anthony Foianini 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 Anthony Foianini accept?

Health plans from WellSense Health Plan list Anthony Foianini 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 Anthony Foianini affiliated with any hospitals?

According to CMS data, Anthony Foianini is affiliated with Maine Medical Center and Bridgton Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Foianini was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.