CLAUDIA RENATA DIBLASI DO
NPI 1205397239
Hospitalist in Augusta, ME

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330(855) 464-4463 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claudia Renata Diblasi Do NPPES

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

CLAUDIA RENATA DIBLASI DO (NPI 1205397239) is an individual hospitalist provider in Augusta, Maine, licensed in Maine (DO3693) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2019).

NPPES Registry Identity

NPI1205397239
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameCLAUDIA RENATA DIBLASICredential: DO
Location Address35 MEDICAL CENTER PKWYAugusta, ME 04330-8160
Mailing Address35 Medical Center PkwyAugusta, ME 04330-8160 · (446) 385-5464
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2019
Enumeration DateMarch 31, 2019
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
NPI 1205397239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ME · DO3693
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS023043 (PA), DO3693 (ME)
35 MEDICAL CENTER PKWY, Augusta, ME 04330

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

Claudia Renata Diblasi Do 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 ID7315273455
PECOS Enrollment IDI20240116001135
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 5

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 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.
157 services66 patients
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.
76 services39 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.
53 services53 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Family)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330

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 Claudia Diblasi's NPI number?

The NPI number for Claudia Diblasi is 1205397239. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Claudia Diblasi located?

Claudia Diblasi practices at 35 Medical Center Pkwy, Augusta, ME 04330. The listed phone number is (855) 464-4463.

What is Claudia Diblasi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Claudia Diblasi enrolled in Medicare?

Yes. Claudia Diblasi 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.

Is Claudia Diblasi affiliated with any hospitals?

According to CMS data, Claudia Diblasi is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Claudia Diblasi was last updated on January 31, 2024. 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.