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DR. BENJAMIN BRUCE MAILLOUX MD
NPI 1366545972
Family Medicine in Belfast, ME

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
16 FAHEY ST, SUITE 103, BELFAST, ME 04915(207) 338-5440(207) 338-6912 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Bruce Mailloux Md NPPES

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

DR. BENJAMIN BRUCE MAILLOUX MD (NPI 1366545972) is an individual family medicine provider in Belfast, Maine, licensed in Maine (018083) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of Geisel School Of Medicine At Dartmouth (2005).

NPPES Registry Identity

NPI1366545972
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENJAMIN BRUCE MAILLOUXCredential: MD
Location Address16 FAHEY ST, SUITE 103Belfast, ME 04915
Mailing Address16 Fahey St, Suite 103Belfast, ME 04915 · (207) 338-5440 · Fax (207) 338-6912
Phone(207) 338-5440
Fax(207) 338-6912
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2005
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 14, 2010
✔ NPI 1366545972 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 · 018083
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.
16 FAHEY ST, Belfast, ME 04915
Open in Google Maps ↗

Other Identifiers 1

Medicare PINI69843

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Dr. Benjamin Bruce Mailloux 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 ID1254333958
PECOS Enrollment IDI20091006000477
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.

Hospital Affiliations CMS Care Compare 2

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04915 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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims62 services$2.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. DAVID DEAN CROFOOT M.D.
Surgery
16 FAHEY ST, 207 COBB MEDICAL BUILDING
BELFAST, ME 04915
Waldo County (207) 338-4211
DR. JAMES C DELEHANTY M.D.
Internal Medicine
16 FAHEY ST, SUITE 208 COBB MED. BLDG
BELFAST, ME 04915
Waldo County (207) 338-1728
KIMBERLY METCALF
Nurse Practitioner (Family)
16 FAHEY ST, SUITE 201 COBB
BELFAST, ME 04915
Waldo County (207) 930-2510
AUGUST C SCHWENK, M.D.PC
Obstetrics & Gynecology (Gynecology)
16 FAHEY ST, SUITE 201
BELFAST, ME 04915
Waldo County (207) 338-4449
JOSEPH H ANDERSON M.D.
Pediatrics
16 FAHEY ST, SUITE 107
BELFAST, ME 04915
Waldo County (207) 338-4257
DR. PAUL F. STEWART JR. M.D.
Specialist
16 FAHEY ST, SUITE 205 COBB MED BLDG
BELFAST, ME 04915
Waldo County (207) 338-1911

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 Benjamin Mailloux's NPI number?

The NPI number for Benjamin Mailloux is 1366545972. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Benjamin Mailloux located?

Benjamin Mailloux practices at 16 Fahey St Suite 103, Belfast, ME 04915. The listed phone number is (207) 338-5440.

What is Benjamin Mailloux's specialty?

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

Is Benjamin Mailloux enrolled in Medicare?

Yes. Benjamin Mailloux 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.

What insurance does Benjamin Mailloux accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Benjamin Mailloux 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 Benjamin Mailloux affiliated with any hospitals?

According to CMS data, Benjamin Mailloux is affiliated with Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Mailloux was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.