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JEAN MARIE ANTONUCCI MD
NPI 1356347900
Family Medicine in Farmington, ME

Active since June 27, 2005PECOS Enrolled
115 MT BLUE CIR, STE 2, FARMINGTON, ME 04938(207) 778-3313(207) 778-3544 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jean Marie Antonucci Md NPPES

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

JEAN MARIE ANTONUCCI MD (NPI 1356347900) is an individual family medicine provider in Farmington, Maine, licensed in Maine (12782) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356347900
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJEAN MARIE ANTONUCCICredential: MD
Location Address115 MT BLUE CIR, STE 2Farmington, ME 04938-6239
Mailing Address115 Mt Blue Cir, Ste 2Farmington, ME 04938-6239 · (207) 778-3313 · Fax (207) 778-3544
Phone(207) 778-3313
Fax(207) 778-3544
Sole ProprietorYes
Enumeration DateJune 27, 2005
Last NPPES UpdateNovember 15, 2011
✔ NPI 1356347900 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 · 12782
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.

115 MT BLUE CIR, Farmington, ME 04938
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Other Identifiers 5

Medicaid298980000ME
Other12782ME · State Lisense
Medicare UPINE28422ME
Other048285ME · Anthem
Medicare PINMM2794ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean Marie Antonucci Md 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 04938 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,597 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
16%122 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%448 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
71%448 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%448 patients2/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

KATHLEEN HARVEY LCSW
Social Worker (Clinical)
115 MT BLUE CIR
FARMINGTON, ME 04938
Franklin County (207) 660-4549
TRACY F BENNETT
Registered Nurse (Psychiatric/Mental Health)
115 MT BLUE CIR
FARMINGTON, ME 04938
Franklin County (207) 860-3026
REBECCA DENNISON LMSW-C
Social Worker
115 MT BLUE CIR
FARMINGTON, ME 04938
Franklin County (207) 491-3132
ALEXIS DITRAPANO LCPC-C
Counselor (Mental Health)
115 MT BLUE CIR
FARMINGTON, ME 04938
Franklin County (207) 520-0839
DR. SHARMILA DAS-WATTLEY DPM
Podiatrist (Foot & Ankle Surgery)
115 MT BLUE CIR
FARMINGTON, ME 04938
Franklin County (207) 860-2817
LEANN WRIGHT
Counselor (Mental Health)
115 MT BLUE CIR
FARMINGTON, ME 04938
Franklin County (207) 873-2136
DR. PAUL BLAKE WOODEN MD
Family Medicine
115 MT BLUE CIR, SUITE 3
FARMINGTON, ME 04938
Franklin County (207) 778-6800
MS. NICOLE MARIE COTNOIR PMHRN-BC
Registered Nurse (Psychiatric/Mental Health)
115 MT BLUE CIR
FARMINGTON, ME 04938
Franklin County (207) 860-3026

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 Jean Antonucci's NPI number?

The NPI number for Jean Antonucci is 1356347900. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Jean Antonucci located?

Jean Antonucci practices at 115 Mt Blue Cir Ste 2, Farmington, ME 04938. The listed phone number is (207) 778-3313.

What is Jean Antonucci's specialty?

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

Is Jean Antonucci enrolled in Medicare?

Yes. Jean Antonucci is registered in the Medicare PECOS enrollment system.

What insurance does Jean Antonucci accept?

Health plans from AvMed and Molina Healthcare list Jean Antonucci 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.

When was this NPI record last updated?

The NPPES record for Jean Antonucci was last updated on November 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.