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MICHAEL ONEAL
NPI 1386399830
Nurse Practitioner - Acute Care in Ellsworth, ME

Active since February 14, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
50 UNION ST, ELLSWORTH, ME 04605(207) 664-5311 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2023, Feb 14, 2022 (2 updates tracked since 2022).

About Michael Oneal NPPES

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

MICHAEL ONEAL (NPI 1386399830) is an individual acute care provider in Ellsworth, Maine, licensed in Maine (CNP221011) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386399830
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMICHAEL ONEAL
Location Address50 UNION STEllsworth, ME 04605-1534
Mailing Address829 Green Lake RdDedham, ME 04429-4541 · (207) 659-8462
Phone(207) 664-5311
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 14, 2022
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1386399830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in ME · CNP221011
50 UNION ST, Ellsworth, ME 04605
Open in Google Maps ↗

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

Michael Oneal 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 ID2567857733
PECOS Enrollment IDI20220325000269
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.

Areas of Expertise CMS Part B claims 8

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,290 services267 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
466 services61 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
415 services149 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
109 services101 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
47 services34 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

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

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock 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 04605 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.11
Promoting Interoperability100
Improvement Activities40

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.

JESSE R CLOUTIER PA
Physician Assistant
50 UNION ST, SUITE 2100
ELLSWORTH, ME 04605
Hancock County (207) 664-5770
MERCEDES LIM ANG M.D.
Internal Medicine
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5311
ELIZABETH LAVERACK M. D.
Internal Medicine
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5311
MAINE COAST HEALTHCARE CORPORATION
Clinic/Center (Dental)
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5304
MAINE MEDICAL SERVICES LLC
Hospitalist
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (865) 693-1000
JUDITH A DUNIPACE MD
Anesthesiology (Pain Medicine)
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5311
COASTAL ANESTHESIA, PA
Anesthesiology
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 644-5356
EMILY SELTZER MD
Emergency Medicine
50 UNION ST
ELLSWORTH, ME 04605
Hancock County (207) 664-5311

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 Michael Oneal's NPI number?

The NPI number for Michael Oneal is 1386399830. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Michael Oneal located?

Michael Oneal practices at 50 Union St, Ellsworth, ME 04605. The listed phone number is (207) 664-5311.

What is Michael Oneal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michael Oneal enrolled in Medicare?

Yes. Michael Oneal 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.

Is Michael Oneal affiliated with any hospitals?

According to CMS data, Michael Oneal is affiliated with Mid Coast Hospital, Maine General Medical Center, Northern Light Maine Coast Hospital and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Oneal was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.