PATRICIA L CANTLIN DO
NPI 1275533994
Internal Medicine - Nephrology in Portland, ME

Active since July 22, 2005PECOS Enrolled
98.06/100
CMS Quality Rating
1600B CONGRESS ST, PORTLAND, ME 04102(207) 774-5222(207) 761-4433 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patricia L Cantlin Do NPPES

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

PATRICIA L CANTLIN DO (NPI 1275533994) is an individual nephrology provider in Portland, Maine, licensed in Maine (1481) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275533994
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NamePATRICIA L CANTLINCredential: DO
Location Address1600B CONGRESS STPortland, ME 04102-2124
Mailing Address1600b Congress StPortland, ME 04102-2124 · (207) 774-5222 · Fax (207) 761-4433
Fax(207) 761-4433
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateMay 16, 2012
✔ NPI 1275533994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in ME · 1481
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1600B CONGRESS ST, Portland, ME 04102

Other Identifiers 4

Medicare PINMM595501ME
Medicaid322450099ME
Medicare UPINGO6658ME
Medicare ID-Type UnspecifiedMM5955ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia L Cantlin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Patricia Cantlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Trauma
335 BRIGHTON AVE, SUITE 200
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 46 clinicians in this Medicare group
Orthopaedic Trauma
335 BRIGHTON AVE, SUITE 200
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 264 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
211 services52 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
30 services21 patients

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
$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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
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

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims3,600 services$0.28 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier22 claims3,300 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers34 claims4,920 services$0.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier21 claims21 services$18.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier35 claims35 services$11.54 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 13

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

Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Physician Assistant
1600B CONGRESS ST
PORTLAND, ME 04102
Nurse Practitioner (Acute Care)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS 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 Patricia Cantlin's NPI number?

The NPI number for Patricia Cantlin is 1275533994. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Patricia Cantlin located?

Patricia Cantlin practices at 1600B Congress St, Portland, ME 04102. The listed phone number is (207) 774-5222.

What is Patricia Cantlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Patricia Cantlin enrolled in Medicare?

Yes. Patricia Cantlin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Cantlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Cantlin reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Maine Medical Partners (Portland, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Cantlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patricia Cantlin was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.