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DR. DONALD RAJAN WOOLEVER M.D.
NPI 1306838388
Family Medicine in Augusta, ME

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
15 E CHESTNUT ST, AUGUSTA, ME 04330(207) 626-1561(207) 626-1849 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Donald Rajan Woolever M.d. NPPES

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

DR. DONALD RAJAN WOOLEVER M.D. (NPI 1306838388) is an individual family medicine provider in Augusta, Maine, licensed in Maine (016982) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1996).

NPPES Registry Identity

NPI1306838388
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONALD RAJAN WOOLEVERCredential: M.D.
Location Address15 E CHESTNUT STAugusta, ME 04330-5736
Mailing Address15 E Chestnut StAugusta, ME 04330-5736 · (207) 626-1561 · Fax (207) 626-1849
Phone(207) 626-1561
Fax(207) 626-1849
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1996
Enumeration DateAugust 17, 2005
Last NPPES UpdateMay 31, 2019
✔ NPI 1306838388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · 016982
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15 E CHESTNUT ST, Augusta, ME 04330
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald Rajan Woolever 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 ID1759382963
PECOS Enrollment IDI20230907003661
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 Donald Woolever reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainegeneral Medical Center
3.4 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454
Appledore Medical Group Dba Woodbury Family Practice
98 mi
Family Medicine
101 SHATTUCK WAY, SUITE 6
Newington, NH 03801
  • Reassigned Medicare billing, New Hampshire enrollment
  • Medicare enrollment name: Appledore Medical Group Inc
  • 185 clinicians in this Medicare group
NPI 1225232184 (603) 430-0060

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 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.

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.
99 services87 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.
83 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients

Hospital Affiliations CMS Care Compare 3

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

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

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
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.

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.

KATHARINE M K ANDERSON MD
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
KELLY ANDERSON
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
RACHEL THOMAS
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
CHERYL K SEYMOUR MD
Family Medicine (Geriatric Medicine)
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
CHARMAINE SILVEIRA DA GRACA COSTA
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
JOSEE PROULX MD
Family Medicine
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
NATHANIEL BOWLING
Student in an Organized Health Care Education/Training Program
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561
SYDNEY R SEWALL MD
Pediatrics
15 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1561

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 Donald Woolever's NPI number?

The NPI number for Donald Woolever is 1306838388. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Donald Woolever located?

Donald Woolever practices at 15 E Chestnut St, Augusta, ME 04330. The listed phone number is (207) 626-1561.

What is Donald Woolever's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donald Woolever enrolled in Medicare?

Yes. Donald Woolever 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.

Which organizations bill Medicare for Donald Woolever's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Woolever reassigns Medicare benefits to 2 organizations: Mainegeneral Medical Center (Augusta, ME) and Appledore Medical Group Dba Woodbury Family Practice (Newington, NH). 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 Donald Woolever's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Woolever accept?

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

According to CMS data, Donald Woolever is affiliated with York Hospital, Exeter Hospital Inc and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Donald Woolever was last updated on May 31, 2019. 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.