NOAH NESIN MD
NPI 1194784991
Family Medicine in Bangor, ME

NPI Status: Active since March 21, 2006

Contact Information

86 DAVIS RD
BANGOR, ME
ZIP 04401
Phone: (207) 992-9200

Get Directions Reviews

  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About NOAH NESIN

Noah Nesin is a primary care provider established in Bangor, Maine and his medical specialization is Family Medicine. The healthcare provider is registered in the NPI registry with number 1194784991 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD12146 (ME). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1194784991
Provider Name
NOAH NESIN MD
Gender
Male
Entity Type
Individual
Location Address
86 DAVIS RD BANGOR, ME 04401
Location Phone
(207) 992-9200
Mailing Address
PO BOX 1599 BANGOR, ME 04402
Mailing Phone
(207) 945-5247
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
03-21-2006
Last Update Date
05-05-2021
Code Navigator

A primary care provider (PCP) like Noah Nesin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD12146
License State
ME
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Blue Cross and Blue Sheld

    • Anthem Bronze Blue Connection EPO 7000/50%/8000 w/HSA - EPO
    • Anthem Bronze Blue Connection EPO 8500/50%/9450 - EPO
    • Anthem Gold Blue Connection EPO 1000/20%/7500 - EPO
    • Anthem Gold Blue Connection EPO 2000/0%/6500 RxD - EPO
    • Anthem Gold Blue Connection EPO 2000/10%/4725 w/HSA - EPO
    • Anthem Gold Blue Connection EPO 2000/10%/8000 - EPO
    • Anthem Gold Blue Connection EPO 2000/10%/8000 WH - EPO
    • Anthem Gold Blue Connection EPO 2000/20%/4725 w/HSA - EPO
    • Anthem Gold Blue Connection EPO 3000/0%/5500 RxD - EPO
    • Anthem Gold Blue Connection EPO 500/25%/7500 - EPO
    • Anthem Platinum Blue Connection EPO 250/10%/3000 - EPO
    • Anthem Silver Blue Connection EPO 2000/30%/9450 Value - EPO
    • Anthem Silver Blue Connection EPO 3000/20%/8500 - EPO
    • Anthem Silver Blue Connection EPO 3000/30%/9000 Value - EPO
    • Anthem Silver Blue Connection EPO 3200/20%/7250 w/HSA - EPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
    • Anthem Bronze Access Blue New England HMO 8500/50%/9450 - HMO
    • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
    • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 WH - HMO
    • Anthem Gold Access Blue New England HMO 2000/20%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
    • Anthem Platinum Access Blue New England HMO 250/10%/3000 - HMO
    • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
    • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3200/20%/7250 w/HSA - HMO
  • Anthem Blue Cross

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100273OTHER (01)MEANTHEM
MM9086OTHER (01)MEMEDICARE
117010099MEDICAID (05)ME 

PECOS Enrollment and Medicare Participation Status

Noah Nesin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.24
  • Minimum New Patient Price $55.17
  • Maximum New Patient Price $169.01
  • Average New Patient Copayment $21.31
  • Minimum New Patient Copayment $13.79
  • Maximum New Patient Copayment $42.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.76
  • Minimum Established Patient Price $16.99
  • Maximum Established Patient Price $138.13
  • Average Established Patient Copayment $24.69
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $34.53

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 56

    Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

  • 49

    Blood test, comprehensive group of blood chemicals (HCPCS:80053)

Reviews for NOAH NESIN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194784991
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841488918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 4 + 8 + 8 + 9 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1194784991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093734493 CONSTANCE C SPRAGUE APRN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1245323104 JENNIFER A TRIMBLE DO
Individual
Neuromusculoskeletal Medicine & OMM86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1255416772MS. CHRYS J. LANDRIGAN PA-C, MPAS
Individual
Physician Assistant86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1306998281DR. JAMES NELSON RILEY SR. DO
Individual
Neuromusculoskeletal Medicine & OMM86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1740373679PENOBSCOT COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1326149725 LARRY P BOLSTER LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1386254886 TIMOTHY C PRINCE FNPC
Individual
Nurse Practitioner86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1003393042 EMILY A GOODE LCPC
Individual
Counselor (Professional)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1003012253 KIMBERLY A MILLS LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1467888230 AME BARRIER LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1336863059 KAITLIN DRAKE LCPC-C
Individual
Counselor (Professional)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1265592315 LISA M MELENDEZ-LAWRENCE LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205
1740709567 MEISHA B NICKERSON LCSW
Individual
Social Worker (Clinical)86 DAVIS RD
BANGOR, ME 04401
(207) 992-2205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194784991, enumerated in the NPI registry as an "individual" on March 21, 2006

The provider is located at 86 Davis Rd Bangor, Me 04401 and the phone number is (207) 992-9200

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.24 with an average copayment of $21.31 for new patient appointments. Established patients should expect a typical charge of $98.76 and an average copayment of 24.69. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Complete blood cell count (red cells, white blood cell, platelets), automated test and Blood test, comprehensive group of blood chemicals.

This NPI record was last updated on March 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.