DR. LIIA EDOUARDOVNA DOUMANOVSKAIA M.D.
NPI 1366739930
Internal Medicine in Fort Kent, ME

Q: What is Liia Doumanovskaia's NPI number?

The NPI number for Liia Doumanovskaia is 1366739930. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Q: What is Liia Doumanovskaia's specialty?

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

Active since July 05, 2011PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

194 E MAIN ST, FORT KENT, ME 04743(207) 834-1581(207) 834-2949 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Liia Edouardovna Doumanovskaia M.d. NPPES

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

DR. LIIA EDOUARDOVNA DOUMANOVSKAIA M.D. (NPI 1366739930) is an individual internal medicine provider in Fort Kent, Maine, licensed in Maine (018838) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1366739930

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. LIIA EDOUARDOVNA DOUMANOVSKAIACredential: M.D.

Location Address194 E MAIN STFort Kent, ME 04743-1428

Mailing Address12 High St Ste 400Lewiston, ME 04240-7690 · (207) 795-5700 · Fax (207) 795-5727

Phone(207) 834-1581

Fax(207) 834-2949

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJuly 5, 2011

Last NPPES UpdateAugust 25, 2020

NPPES CertifiedAugust 25, 2020

✔ NPI 1366739930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ME · 018838

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.

194 E MAIN ST, Fort Kent, ME 04743

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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. Liia Edouardovna Doumanovskaia 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 ID547439002

PECOS Enrollment IDI20110818000107

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 04743 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

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

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers28 claims84 services$6.30 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier15 claims1,980 services$1.66 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers34 claims34 services$8.09 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers17 claims17 services$195.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CHRISTA PELLETIER O.T.

Occupational Therapist