LEE D HALLAGAN MD
NPI 1225297989
Surgery in Portland, ME
About Lee D Hallagan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEE D HALLAGAN MD (NPI 1225297989) is an individual surgery provider in Portland, Maine, licensed in Maine (MD20178) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lee D Hallagan Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lee Hallagan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 264 clinicians in this Medicare group
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04102
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 Lee Hallagan's NPI number?
The NPI number for Lee Hallagan is 1225297989. It was assigned to this individual provider in the NPPES registry on June 6, 2008.
Where is Lee Hallagan located?
Lee Hallagan practices at 887 Congress Street Suite 400, Portland, ME 04102. The listed phone number is (207) 774-6368.
What is Lee Hallagan's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Lee Hallagan enrolled in Medicare?
Yes. Lee Hallagan 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.
Which organizations bill Medicare for Lee Hallagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lee Hallagan reassigns Medicare benefits to 3 organizations: Maine Medical Partners (Portland, ME), Mainehealth (Portland, ME) and St. Mary's Regional Medical Center (Lewiston, ME). Each 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 Lee Hallagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lee Hallagan accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Lee Hallagan 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 Lee Hallagan affiliated with any hospitals?
According to CMS data, Lee Hallagan is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Lee Hallagan was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Lee D Hallagan, MD · NPI 1225297989
Surgery physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since June 6, 2008.
## Identity
- **NPI:** 1225297989 (Entity type: Individual)
- **Enumerated:** June 6, 2008
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD20178 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 887 CONGRESS STREET, SUITE 400, Portland, ME 04102
- **Phone:** (207) 774-6368 · **Fax:** (207) 774-9388
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Maine Medical Partners (NPI 1285738310, Portland, ME); Mainehealth (NPI 1063726891, Portland, ME); St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 20, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1225297989) · Data from the CMS NPPES public registry.