DOWN EAST ORTHOPEDIC ASSOC PA
NPI 1194763110
Specialist in Bangor, ME
About Down East Orthopedic Assoc Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOWN EAST ORTHOPEDIC ASSOC PA (NPI 1194763110) is a healthcare organization registered as a specialist in Bangor, Maine and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Gerald Merrill, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Down East Orthopedic Assoc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Down East Orthopedic Assoc PA, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 17 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (19)
Grand Forks, ND 58201
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 20D2007782
Down East Orthopedic Associates, PA · Bangor, MEFrequently 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 Down East Orthopedic Assoc PA's NPI number?
The NPI number for Down East Orthopedic Assoc PA is 1194763110. It was assigned to this organization in the NPPES registry on June 3, 2006.
Where is Down East Orthopedic Assoc PA located?
Down East Orthopedic Assoc PA is located at 78 Ridgewood Dr, Bangor, ME 04401. The listed phone number is (207) 947-8381.
What is Down East Orthopedic Assoc PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Down East Orthopedic Assoc PA enrolled in Medicare?
Yes. Down East Orthopedic Assoc PA is registered in the Medicare PECOS enrollment system.
When is Down East Orthopedic Assoc PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Maine, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Down East Orthopedic Assoc PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 7 Medicare specialties reassign their Medicare billing to Down East Orthopedic Assoc PA. A 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 the clinician's services. The largest specialties are Orthopedic Surgery (8), Family Practice (3) and Hand Surgery (2). Of these, 14 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Down East Orthopedic Assoc PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D2007782) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Down East Orthopedic Assoc PA accept?
Health plans from Anthem Blue Cross and Blue Shield list Down East Orthopedic Assoc PA 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.
When was this NPI record last updated?
The NPPES record for Down East Orthopedic Assoc PA was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Down East Orthopedic Assoc Pa · NPI 1194763110
Specialist organization in Bangor, Maine. Organization record, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1194763110 (Entity type: Organization)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Gerald Merrill, ADMINISTRATOR
## Practice location
- **Address:** 78 RIDGEWOOD DR, Bangor, ME 04401-2652
- **Phone:** (207) 947-8381 · **Fax:** (207) 942-5631
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Maine, Physician - Orthopedic/Orthopedic Surgery) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 19 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (8), Family Practice (3), Hand Surgery (2); 14 practice at this address and 17 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2021
- **Other identifiers:** Other CF4751 (ME); Medicaid 105820000 (ME)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1194763110) · Data from the CMS NPPES public registry.