DOUGALD C MACGILLIVRAY MD
NPI 1275519035
Surgery in Portland, ME

Q: What is Dougald Macgillivray's NPI number?

The NPI number for Dougald Macgillivray is 1275519035. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is Dougald Macgillivray's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102(207) 774-6368(207) 774-9388 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dougald C Macgillivray Md NPPES

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

DOUGALD C MACGILLIVRAY MD (NPI 1275519035) is an individual surgery provider in Portland, Maine, licensed in Maine (MD14162) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Tufts University School Of Medicine (1981).

NPPES Registry Identity

NPI1275519035

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDOUGALD C MACGILLIVRAYCredential: MD

Location Address887 CONGRESS ST, SUITE 400Portland, ME 04102-3100

Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632

Phone(207) 774-6368

Fax(207) 774-9388

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1981

Enumeration DateDecember 22, 2005

Last NPPES UpdateSeptember 3, 2013

✔ NPI 1275519035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in ME · MD14162

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.

887 CONGRESS ST, Portland, ME 04102

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Other Identifiers 7

Medicare UPINE58132ME

Medicare PINMM6361ME

Other020029766ME · Rr Meidcare

Medicaid30009582NH

Medicaid275310099ME

Medicare PINMM636102ME

Medicare PINMM636101ME

Accepted Insurance

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

Dougald C Macgillivray 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 ID8426001082

PECOS Enrollment IDI20050224000041

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 14

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.

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

187 services180 patients

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.

94 services94 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

83 services74 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

56 services52 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.

47 services40 patients

Removal or exploration of parathyroid glands 60500

The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.

44 services44 patients

Biopsy or removal of deep lymph nodes of neck 38510

A biopsy or removal of deep neck lymph nodes is a procedure where a small sample of tissue is taken from your neck's lymph nodes. This test helps diagnose diseases like cancer. It involves a small incision and is usually performed under anesthesia.

30 services30 patients

Telephone medical discussion with physician, 11-20 minutes 99442

28 services28 patients

Fine needle aspiration biopsy using ultrasound guidance, each additional growth 10006

A fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is used to collect cells from a growth. Ultrasound helps accurately locate the growth. If there's more than one growth, each one is biopsied separately.

21 services18 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.

21 services21 patients

Removal of thyroid lobe on side of neck 60220

This procedure involves the removal of one side of your thyroid gland, located in your neck. It's done to treat conditions like nodules or tumors. You'll be under anesthesia, and the surgeon will make a small incision in your neck to remove the lobe. Recovery typically takes a few weeks.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

16 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 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

York Hospital

Acute Care Hospitals · York, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200020

Location15 Hospital DriveYork, ME 03909 · York 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

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201315

Location181 Main StreetNorway, ME 04268 · Oxford 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

Quality

86.13

Promoting Interoperability

100

Improvement Activities

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.

MS. NICOLE L. MIZNER C.P.N.P.

Nurse Practitioner (Pediatrics)

887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102

Cumberland County (207) 773-2723

KENNETH LOMBARD M.D.

Pediatrics (Pediatric Gastroenterology)

887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102

Cumberland County (207) 662-5522

JANICE M STILKEY PNP

Nurse Practitioner (Pediatrics)

887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102

Cumberland County (207) 662-5522

LESLIE S WU MD

Surgery

887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102

Cumberland County (207) 774-6368

ANNE C COATES M.D.

Pediatrics (Pediatric Pulmonology)

887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102

Cumberland County (207) 662-5522

MARIE H TANZER MD

Pediatrics (Pediatric Nephrology)

887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102

Cumberland County (207) 662-5522

MAINEHEALTH

Obstetrics & Gynecology (Maternal & Fetal Medicine)

887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102

Cumberland County (207) 771-5549

DR. COLBY A WYATT MD PHD

Pediatrics (Pediatric Pulmonology)

887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102

Cumberland County (207) 662-5522

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 Dougald Macgillivray's NPI number?

The NPI number for Dougald Macgillivray is 1275519035. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Dougald Macgillivray located?

Dougald Macgillivray practices at 887 Congress St Suite 400, Portland, ME 04102. The listed phone number is (207) 774-6368.

What is Dougald Macgillivray's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dougald Macgillivray enrolled in Medicare?

Yes. Dougald Macgillivray 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 Dougald Macgillivray accept?

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

According to CMS data, Dougald Macgillivray is affiliated with Maine Medical Center, York Hospital, Mid Coast Hospital, Penobscot Bay Medical Center and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dougald Macgillivray was last updated on September 3, 2013. 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.