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DAVID J RAWCLIFFE DO
NPI 1225155906
Family Medicine in Bangor, ME

Active since March 26, 2007PECOS Enrolled
700 MOUNT HOPE AVE, SUITE 210, BANGOR, ME 04401(207) 907-3030(207) 907-3031 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David J Rawcliffe Do NPPES

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

DAVID J RAWCLIFFE DO (NPI 1225155906) is an individual family medicine provider in Bangor, Maine, licensed in Maine (DO2041) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2006).

NPPES Registry Identity

NPI1225155906
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID J RAWCLIFFECredential: DO
Location Address700 MOUNT HOPE AVE, SUITE 210Bangor, ME 04401-5691
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200 · Fax (207) 947-0435
Phone(207) 907-3030
Fax(207) 907-3031
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2006
Enumeration DateMarch 26, 2007
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1225155906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · DO2041
Definition
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.
700 MOUNT HOPE AVE, Bangor, ME 04401
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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, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J Rawcliffe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264587278
PECOS Enrollment IDI20090827000033
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.

Medicare Billing Reassignment

Medicare enrollment records show David Rawcliffe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sebasticook Valley Health
31 mi
Critical Access
447 N MAIN ST
Pittsfield, ME 04967
  • Reassigned Medicare billing, Maine enrollment
  • 140 clinicians in this Medicare group
NPI 1457461477 (207) 487-5141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
149 services104 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
107 services79 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
87 services62 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
77 services72 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
58 services50 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
29 services28 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each A4427
DME-Orthotic Devices · category DF010N
3 suppliers11 claims200 services$2.50 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers16 claims96 services$2.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims22 services$206.50 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.

PAUL A. SHAPERO, M.D., P.A.
Allergy & Immunology
700 MOUNT HOPE AVE, SUITE 430
BANGOR, ME 04401
Penobscot County (207) 947-8658
ANDREA RICHARDS LCPC
Counselor (Mental Health)
700 MOUNT HOPE AVE, SUITE 320
BANGOR, ME 04401
Penobscot County (207) 249-8231
PENOBSCOT SURGICAL CARE, P.A.
Surgery
700 MOUNT HOPE AVE, SUITE 620
BANGOR, ME 04401
Penobscot County (207) 947-1333
DR. PAUL ALAN SHAPERO MD
Allergy & Immunology
700 MOUNT HOPE AVE, SUITE 430
BANGOR, ME 04401
Penobscot County (207) 947-8658
MRS. STACIE R DEVEAU EDSPEC
Psychologist (School)
700 MOUNT HOPE AVE, SUITE 680 EVERGREEN WOODS
BANGOR, ME 04401
Penobscot County (207) 942-9305
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Dental Hygienist
700 MOUNT HOPE AVE, SUITE 320
BANGOR, ME 04401
Penobscot County (207) 941-2952
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Community/Behavioral Health
700 MOUNT HOPE AVE, SUITE 320
BANGOR, ME 04401
Penobscot County (207) 941-2952
DR. ANDREW R KAHN PSYD
Psychologist (Clinical Child & Adolescent)
700 MOUNT HOPE AVE, SUITE 680 EVERGREEN WOODS
BANGOR, ME 04401
Penobscot County (207) 942-9305

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 David Rawcliffe's NPI number?

The NPI number for David Rawcliffe is 1225155906. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is David Rawcliffe located?

David Rawcliffe practices at 700 Mount Hope Ave Suite 210, Bangor, ME 04401. The listed phone number is (207) 907-3030.

What is David Rawcliffe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Rawcliffe enrolled in Medicare?

Yes. David Rawcliffe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Rawcliffe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Rawcliffe reassigns Medicare benefits to Sebasticook Valley Health (Pittsfield, ME). The 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 David Rawcliffe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Rawcliffe accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list David Rawcliffe 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 David Rawcliffe affiliated with any hospitals?

According to CMS data, David Rawcliffe is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center, Northern Light Sebasticook Valley Hospital and Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for David Rawcliffe was last updated on May 5, 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.