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LEE D HALLAGAN MD
NPI 1225297989
Surgery in Portland, ME

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
887 CONGRESS STREET, SUITE 400, PORTLAND, ME 04102(207) 774-6368(207) 774-9388 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1225297989
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLEE D HALLAGANCredential: MD
Location Address887 CONGRESS STREET, SUITE 400Portland, ME 04102
Mailing Address301c Us Route OneScarborough, ME 04074 · (207) 662-7060 · Fax (207) 396-8632
Phone(207) 774-6368
Fax(207) 774-9388
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 6, 2008
Last NPPES UpdateAugust 20, 2014
✔ NPI 1225297989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ME · MD20178
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
887 CONGRESS STREET, Portland, ME 04102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, 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

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.

PECOS PAC ID5294950333
PECOS Enrollment IDI20140707000431
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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
18 services14 patients

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, 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 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.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

MS. REBECCA EDWARDS RD
Dietitian, Registered
887 CONGRESS STREET, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
VALERIE CATHERINE BANKS MS, CGC
Genetic Counselor, MS
887 CONGRESS STREET, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5791

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.

What insurance does Lee Hallagan accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care 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 with the weekly NPPES data releases published by CMS.