GERARDO ENRIQUE FRANCO AHUMADA M.D.
NPI 1295176089
Internal Medicine - Nephrology in Bangor, ME

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
489 STATE ST, BANGOR, ME 04401(207) 973-7000 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2018, Jul 10, 2018 (2 updates tracked since 2018).

About Gerardo Enrique Franco Ahumada M.d. NPPES

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

GERARDO ENRIQUE FRANCO AHUMADA M.D. (NPI 1295176089) is an individual nephrology provider in Bangor, Maine, licensed in Maine (MD22240) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1295176089
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGERARDO ENRIQUE FRANCO AHUMADACredential: M.D.
Location Address489 STATE STBangor, ME 04401
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 10, 2013
Last NPPES UpdateNovember 29, 20182 updates tracked since enumeration
NPI 1295176089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in ME · MD22240
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD22240 (ME)
489 STATE ST, Bangor, ME 04401

Secondary Practice Location 1

Location 12600 Sixth St SWCanton, OH 44710 · Phone (330) 363-6220

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

Gerardo Enrique Franco Ahumada 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 ID3577872258
PECOS Enrollment IDI20181025001202
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 3

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
379 services116 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services54 patients
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.
40 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims170 services$11.26 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims119 services$232.35 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims119 services$8.10 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims119 services$25.29 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.

Physician Assistant
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Hospitalist
489 STATE ST
BANGOR, ME 04401

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 Gerardo Franco Ahumada's NPI number?

The NPI number for Gerardo Franco Ahumada is 1295176089. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Gerardo Franco Ahumada located?

Gerardo Franco Ahumada practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 973-7000.

What is Gerardo Franco Ahumada's specialty?

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

Is Gerardo Franco Ahumada enrolled in Medicare?

Yes. Gerardo Franco Ahumada 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 Gerardo Franco Ahumada affiliated with any hospitals?

According to CMS data, Gerardo Franco Ahumada is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Gerardo Franco Ahumada was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.