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KAITLYN RULLO
NPI 1295465409
Urology in Bangor, ME

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
55 BROADWAY, BANGOR, ME 04401(207) 947-0469(207) 947-5368 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2023, Sep 8, 2022 (2 updates tracked since 2022).

About Kaitlyn Rullo NPPES

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

KAITLYN RULLO (NPI 1295465409) is an individual urology provider in Bangor, Maine, licensed in Maine (PA2440) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1295465409
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameKAITLYN RULLO
Location Address55 BROADWAYBangor, ME 04401-5201
Mailing Address489 State StBangor, ME 04401-6616
Phone(207) 947-0469
Fax(207) 947-5368
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
✔ NPI 1295465409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in ME · PA2440
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedPhysician AssistantTaxonomy 363A00000X
55 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1489 State StBangor, ME 04401-6616 · Phone (207) 947-0469

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

Kaitlyn Rullo 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 ID3779955968
PECOS Enrollment IDI20230216001970
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 6

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.

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.
108 services78 patients
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.
94 services56 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.
31 services30 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.
25 services24 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.
24 services22 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

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
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Other Providers at the Same Location NPPES 10

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

DR. ALI KHAVARI M.D.
Urology
55 BROADWAY, SUITE 2
BANGOR, ME 04401
Penobscot County (207) 973-8881
BRENDAN WALLACE MD
Urology
55 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 947-0469
PHYSICIANS SPECIALISTS SURGERY CENTER OF MAINE PLLC
Surgery
55 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 947-5657
MARY KAY DEIGHAN R.N.
Registered Nurse (Plastic Surgery)
55 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 947-5657
DR. DAVID A BRANCH M.D.
Specialist
55 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 947-5657
MRS. JOYCE MARIE REMESCHATIS RNFA
Registered Nurse (Registered Nurse First Assistant)
55 BROADWAY, SUITE 2
BANGOR, ME 04401
Penobscot County (207) 947-0469
MRS. BRANDY KELLEY PA-C
Physician Assistant (Medical)
55 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 947-0469
MARISA CHRISTINE GRAY MD
Urology
55 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 947-0469

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 Kaitlyn Rullo's NPI number?

The NPI number for Kaitlyn Rullo is 1295465409. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Kaitlyn Rullo located?

Kaitlyn Rullo practices at 55 Broadway, Bangor, ME 04401. The listed phone number is (207) 947-0469.

What is Kaitlyn Rullo's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kaitlyn Rullo enrolled in Medicare?

Yes. Kaitlyn Rullo 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 Kaitlyn Rullo affiliated with any hospitals?

According to CMS data, Kaitlyn Rullo is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center, Northern Light Maine Coast Hospital and Northern Light Sebasticook Valley Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Rullo was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.