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CARLA M CANEPA MD
NPI 1336482538
Internal Medicine in Portland, ME

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment
MMP ADULT HOSPITAL MEDICINE, 22 BRAMHALL ST. P2A ROOM 2227, PORTLAND, ME 04102(207) 662-4618 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2020, Apr 17, 2019 (2 updates tracked since 2019).

About Carla M Canepa Md NPPES

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

CARLA M CANEPA MD (NPI 1336482538) is an individual internal medicine provider in Portland, Maine, licensed in Maine (MD23604) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336482538
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCARLA M CANEPACredential: MD
Location AddressMMP ADULT HOSPITAL MEDICINE, 22 BRAMHALL ST. P2A ROOM 2227Portland, ME 04102-3175
Mailing AddressMmp Adult Hospital Medicine, 22 Bramhall St. P2a Room 2227Portland, ME 04102-3175
Phone(207) 662-4618
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 5, 2013
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1336482538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD23604
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 284221 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MMP ADULT HOSPITAL MEDICINE, Portland, ME 04102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families.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

Carla M Canepa Md 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 ID6507153988
PECOS Enrollment IDI20200529001047
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 Carla Canepa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
1.4 mi
Maternal & Fetal Medicine
887 CONGRESS ST, SUITE 200
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1063726891 (207) 771-5549
Maine Medical Partners
1.4 mi
Urology
100 BRICKHILL AVE
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1942315361 (Maine)
  • 203 clinicians in this Medicare group
NPI 1710215751 (207) 773-1728

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 5

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.
165 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services34 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.
16 services16 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.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

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.

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 Carla Canepa's NPI number?

The NPI number for Carla Canepa is 1336482538. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Carla Canepa located?

Carla Canepa practices at Mmp Adult Hospital Medicine 22 Bramhall St. P2a Room 2227, Portland, ME 04102. The listed phone number is (207) 662-4618.

What is Carla Canepa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carla Canepa enrolled in Medicare?

Yes. Carla Canepa 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 Carla Canepa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Canepa reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Maine Medical Partners (South 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 Carla Canepa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Canepa accept?

Health plans from Ambetter from NH Healthy Families list Carla Canepa 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 Carla Canepa affiliated with any hospitals?

According to CMS data, Carla Canepa is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Carla Canepa was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.