SANJEEV A FRANCIS M.D.
NPI 1265462311
Internal Medicine - Cardiovascular Disease in Scarborough, ME

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 04074(207) 885-9905(207) 396-5600 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sanjeev A Francis M.d. NPPES

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

SANJEEV A FRANCIS M.D. (NPI 1265462311) is an individual cardiovascular disease provider in Scarborough, Maine, licensed in Maine (MD20746) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Albany Medical College Of Union University (2000).

NPPES Registry Identity

NPI1265462311
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSANJEEV A FRANCISCredential: M.D.
Location Address96 CAMPUS DR, SUITE 1Scarborough, ME 04074-7163
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 396-5600
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2000
Enumeration DateJuly 4, 2006
Last NPPES UpdateNovember 16, 2015
NPI 1265462311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in ME · MD20746
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
96 CAMPUS DR, Scarborough, ME 04074

Other Identifiers 2

Medicare PINE400254882ME
Medicare PINE400254880ME

Accepted 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

Sanjeev A Francis 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 ID1759465776
PECOS Enrollment IDI20151105002212
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 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
176 services154 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
87 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
54 services30 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.
30 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

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 04074 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Registered Nurse
96 CAMPUS DR
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Family Medicine
96 CAMPUS DR
SCARBOROUGH, ME 04074

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 Sanjeev Francis's NPI number?

The NPI number for Sanjeev Francis is 1265462311. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Sanjeev Francis located?

Sanjeev Francis practices at 96 Campus Dr Suite 1, Scarborough, ME 04074. The listed phone number is (207) 885-9905.

What is Sanjeev Francis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sanjeev Francis enrolled in Medicare?

Yes. Sanjeev Francis 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 Sanjeev Francis accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sanjeev Francis 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 Sanjeev Francis affiliated with any hospitals?

According to CMS data, Sanjeev Francis is affiliated with Maine Medical Center, Mid Coast Hospital, Penobscot Bay Medical Center, Lincolnhealth and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Sanjeev Francis was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.