KAITLYN MARIE WEIDENBACH M.D.
NPI 1255642666
Radiology - Diagnostic Radiology in Portland, ME

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-6203 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kaitlyn Marie Weidenbach M.d. NPPES

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

KAITLYN MARIE WEIDENBACH M.D. (NPI 1255642666) is an individual diagnostic radiology provider in Portland, Maine, licensed in Maine (EL171008) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Creighton University School Of Medicine (2010).

NPPES Registry Identity

NPI1255642666
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKAITLYN MARIE WEIDENBACHCredential: M.D.
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address324 Gannett Dr, Suite 200South Portland, ME 04106-3270 · (207) 482-7800 · Fax (207) 482-7898
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateMarch 22, 2017
✔ NPI 1255642666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in ME · EL171008
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
22 BRAMHALL ST, Portland, ME 04102

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

Kaitlyn Marie Weidenbach 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 ID9436455383
PECOS Enrollment IDI20170410002694, I20170711002101
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 50

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.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
197 services190 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
141 services139 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
129 services126 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
129 services125 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
126 services116 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
95 services95 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

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.

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.

Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
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 Kaitlyn Weidenbach's NPI number?

The NPI number for Kaitlyn Weidenbach is 1255642666. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Kaitlyn Weidenbach located?

Kaitlyn Weidenbach practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-6203.

What is Kaitlyn Weidenbach's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kaitlyn Weidenbach enrolled in Medicare?

Yes. Kaitlyn Weidenbach 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 Kaitlyn Weidenbach affiliated with any hospitals?

According to CMS data, Kaitlyn Weidenbach is affiliated with Maine Medical Center, St Mary's Regional Medical Center, Lincolnhealth and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Kaitlyn Weidenbach was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.