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AMANDA J GAGNON DO
NPI 1316574635
Pediatrics in Lewiston, ME

Active since March 25, 2020PECOS Enrolled
300 MAIN ST, LEWISTON, ME 04240(207) 662-0111 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Aug 23, 2023, Mar 25, 2020 (3 updates tracked since 2020).

About Amanda J Gagnon Do NPPES

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

AMANDA J GAGNON DO (NPI 1316574635) is an individual pediatrics provider in Lewiston, Maine, licensed in Maine (DO3559) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1316574635
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA J GAGNONCredential: DO
Location Address300 MAIN STLewiston, ME 04240-7027
Mailing Address300 Main StLewiston, ME 04240-7027
Phone(207) 662-0111
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1316574635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · DO3559
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License DO3559 (ME)
300 MAIN ST, Lewiston, ME 04240
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Secondary Practice Location 1

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-0111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda J Gagnon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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.

ANGELA WOOD CRNA
Nurse Anesthetist, Certified Registered
300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
DANA MCCOY PT
Physical Therapist
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
ELIZABETH ROBIN STOKEM SLP
Speech-Language Pathologist
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2590
ASHA HASSAN MOHAMUD MD
Internal Medicine
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
JERROLD T. GALE M.D.
Radiology (Diagnostic Radiology)
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2400
GLENDA MICHELLE KRIBEL CRNA
Nurse Anesthetist, Certified Registered
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-0111
TASHA MARIE DUVAL DO
Obstetrics & Gynecology
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-5770
TAMARA WILLOUGHBY MD
Emergency Medicine
300 MAIN ST
LEWISTON, ME 04240
Androscoggin County (207) 795-5011

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 Amanda Gagnon's NPI number?

The NPI number for Amanda Gagnon is 1316574635. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Amanda Gagnon located?

Amanda Gagnon practices at 300 Main St, Lewiston, ME 04240. The listed phone number is (207) 662-0111.

What is Amanda Gagnon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Gagnon enrolled in Medicare?

Yes. Amanda Gagnon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Gagnon was last updated on August 28, 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.