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DR. MIGUEL A. SALDIVAR M.D.
NPI 1205273661
Internal Medicine - Infectious Disease in South Portland, ME

Active since May 25, 2013PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
41 DONALD B DEAN DR STE B, SOUTH PORTLAND, ME 04106(207) 661-7901 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Jun 21, 2019, Mar 13, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Miguel A. Saldivar M.d. NPPES

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

DR. MIGUEL A. SALDIVAR M.D. (NPI 1205273661) is an individual infectious disease provider in South Portland, Maine, licensed in Maine (MD27515) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of University Of Washington School Of Medicine (2013).

NPPES Registry Identity

NPI1205273661
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MIGUEL A. SALDIVARCredential: M.D.
Location Address41 DONALD B DEAN DR STE BSouth Portland, ME 04106-3252
Mailing Address41 Donald B Dean Dr Ste BSouth Portland, ME 04106-3252 · (207) 661-7901
Phone(207) 661-7901
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2013
Enumeration DateMay 25, 2013
Last NPPES UpdateDecember 13, 20234 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1205273661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in ME · MD27515✔ Licensed in NY · 278235
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 278235 (NY)
41 DONALD B DEAN DR STE B, South Portland, ME 04106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Dr. Miguel A. Saldivar M.d. 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 ID3779877584
PECOS Enrollment IDI20231122002915
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE REBUSI MD
Internal Medicine (Infectious Disease)
41 DONALD B DEAN DR STE B
SOUTH PORTLAND, ME 04106
Cumberland County (207) 661-7901
DR. CHRISTOPHER ANH KHOA VO MD
Internal Medicine (Infectious Disease)
41 DONALD B DEAN DR STE B
SOUTH PORTLAND, ME 04106
Cumberland County (207) 661-7901
DR. STEPHEN ARTHUR RAWLINGS M.D., PH.D.
Internal Medicine (Infectious Disease)
41 DONALD B DEAN DR STE B
SOUTH PORTLAND, ME 04106
Cumberland County (207) 661-7901

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 Miguel Saldivar's NPI number?

The NPI number for Miguel Saldivar is 1205273661. It was assigned to this individual provider in the NPPES registry on May 25, 2013.

Where is Miguel Saldivar located?

Miguel Saldivar practices at 41 Donald B Dean Dr Ste B, South Portland, ME 04106. The listed phone number is (207) 661-7901.

What is Miguel Saldivar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Miguel Saldivar enrolled in Medicare?

Yes. Miguel Saldivar 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 Miguel Saldivar accept?

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

According to CMS data, Miguel Saldivar is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Miguel Saldivar was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.