JOANMARIE DIETZ PELLEGRINI M.D.
NPI 1265402242
Surgery - Trauma Surgery in Bangor, ME

Q: What is Joanmarie Pellegrini's NPI number?

The NPI number for Joanmarie Pellegrini is 1265402242. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Joanmarie Pellegrini's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment

360 BROADWAY, BANGOR, ME 04401(207) 907-3650(207) 907-3660 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Dec 31, 2020, Dec 10, 2019 (3 updates tracked since 2019).

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About Joanmarie Dietz Pellegrini M.d. NPPES

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

JOANMARIE DIETZ PELLEGRINI M.D. (NPI 1265402242) is an individual trauma surgery provider in Bangor, Maine, licensed in Maine (MD15414) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265402242

Entity TypeIndividualFemale

Primary Taxonomy2086S0127X

Provider Legal NameJOANMARIE DIETZ PELLEGRINICredential: M.D.

Location Address360 BROADWAYBangor, ME 04401-3979

Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800

Phone(207) 907-3650

Fax(207) 907-3660

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1993

Enumeration DateJanuary 24, 2006

Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1265402242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

Licenses✔ Licensed in ME · MD15414✔ Licensed in MA · 81948✔ Licensed in ME · 015414

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License 036-138577 (IL), 81948 (MA)

360 BROADWAY, Bangor, ME 04401

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Secondary Practice Locations 2

Location 1489 State StBangor, ME 04401-6616 · Phone (207) 973-7000 ext. 6252 · Fax (207) 973-5042

Location 270 East StMethuen, MA 01844-4597 · Phone (978) 956-3181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., WellSense Health Plan.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

Joanmarie Dietz Pellegrini 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 ID2668404898

PECOS Enrollment IDI20050908000334, I20160120002365, I20221027003117

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

37 services21 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.

23 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services14 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.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number300011

Location172 Kinsley StNashua, NH 03060 · Hillsborough County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers11 claims11 services$15.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$82.71 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.

JAMES HILDEBRAND M.D.

Emergency Medicine

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1703

THERESA ANNE YOUNG RN

Registered Nurse

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 525-4526

DANE HASSANI MD

Anesthesiology

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1430

LIGA YUSVIRAZI MD

Emergency Medicine

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3283

ROBERT SPENCER

Surgery

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1000

DR. PEDRO PABLO GOMEZ VALENCIA M.D.

Surgery

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3650

DR. ALGIS VYDAS M.D.

Specialist

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 262-1938

DR. GANESHA SANTHYADKA MD

Internal Medicine (Pulmonary Disease)

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1155

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 Joanmarie Pellegrini's NPI number?

The NPI number for Joanmarie Pellegrini is 1265402242. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Joanmarie Pellegrini located?

Joanmarie Pellegrini practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3650.

What is Joanmarie Pellegrini's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Joanmarie Pellegrini enrolled in Medicare?

Yes. Joanmarie Pellegrini 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 Joanmarie Pellegrini accept?

Health plans from Moda Health Plan, Inc. and WellSense Health Plan list Joanmarie Pellegrini 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 Joanmarie Pellegrini affiliated with any hospitals?

According to CMS data, Joanmarie Pellegrini is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Joanmarie Pellegrini was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.