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

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: October 25, 2026.

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, is affiliated with Maine General Medical Center, 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
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

Accepted 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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Liia Doumanovskaia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
194 EAST MAIN STREET
Fort Kent, ME 04743
  • Reassigned Medicare billing, Maine enrollment
  • 121 clinicians in this Medicare group
General Acute Care Hospital
111 FRANKLIN HEALTH CMNS
Farmington, ME 04938
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1922791417 (Maine)
  • 3,140 clinicians in this Medicare group
Multi-Specialty
23 BOWDOIN ST
Manchester, ME 04351
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

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
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

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.

Occupational Therapist
194 E MAIN ST
FORT KENT, ME 04743
Registered Nurse (Registered Nurse First Assistant)
194 E MAIN ST
FORT KENT, ME 04743
Social Worker (Clinical)
194 E MAIN ST
FORT KENT, ME 04743
Clinic/Center (Rural Health)
194 E MAIN ST
FORT KENT, ME 04743
Social Worker (Clinical)
194 E MAIN ST
FORT KENT, ME 04743
Orthopaedic Surgery
194 E MAIN ST
FORT KENT, ME 04743
Physician Assistant
194 E MAIN ST
FORT KENT, ME 04743
Hospitalist
194 E MAIN ST
FORT KENT, ME 04743

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 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.

Where is Liia Doumanovskaia located?

Liia Doumanovskaia practices at 194 E Main St, Fort Kent, ME 04743. The listed phone number is (207) 834-1581.

What is Liia Doumanovskaia's specialty?

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

Is Liia Doumanovskaia enrolled in Medicare?

Yes. Liia Doumanovskaia 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 Liia Doumanovskaia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liia Doumanovskaia reassigns Medicare benefits to 3 organizations: Northern Maine Medical Center (Fort Kent, ME), Mainehealth (Farmington, ME) and Central Maine Medical Center (Manchester, 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 Liia Doumanovskaia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Liia Doumanovskaia accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Liia Doumanovskaia 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 Liia Doumanovskaia affiliated with any hospitals?

According to CMS data, Liia Doumanovskaia is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Liia Doumanovskaia was last updated on August 25, 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.