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LISE M CLOUTIER MD
NPI 1386624096
Internal Medicine in Kennebunk, ME

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
2 LIVEWELL DR, KENNEBUNK, ME 04043(207) 467-8988(207) 467-8969 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lise M Cloutier Md NPPES

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

LISE M CLOUTIER MD (NPI 1386624096) is an individual internal medicine provider in Kennebunk, Maine, licensed in Maine (MD15050) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1386624096
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISE M CLOUTIERCredential: MD
Location Address2 LIVEWELL DRKennebunk, ME 04043-6762
Mailing Address2 Livewell DrKennebunk, ME 04043-6762 · (207) 467-8988 · Fax (207) 467-8969
Phone(207) 467-8988
Fax(207) 467-8969
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1995
Enumeration DateJanuary 19, 2006
Last NPPES UpdateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1386624096 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 · MD15050
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.
2 LIVEWELL DR, Kennebunk, ME 04043
Open in Google Maps ↗

Secondary Practice Location 1

Location 112 High St, Ste 400Lewiston, ME 04240-7634 · Phone (207) 795-5700 · Fax (207) 795-5727

Other Identifiers 1

Medicaid010211494ME

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, Taro Health.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

Lise M Cloutier 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 ID7911945795
PECOS Enrollment IDI20050421000954
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

2

Medicare enrollment records show Lise Cloutier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
7.0 mi
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1215417019 (207) 283-7000
Central Maine Medical Center
52 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646

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

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
199 services116 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
91 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services57 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
17 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04043 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

Referred Medical Equipment & Supplies CMS DME claims 5

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
5 suppliers13 claims35 services$5.30 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims7,710 services$0.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$17.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers18 claims18 services$5.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$90.88 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.

KARI ELLEN LONDO AU.D
Audiologist
2 LIVEWELL DR, SUITE 203
KENNEBUNK, ME 04043
York County (207) 985-8005
ROBERTA BEVERLY GERSON D.O.
Preventive Medicine (Occupational Medicine)
2 LIVEWELL DR, GOODALL OCCUPATIONAL HEALTH CENTER
KENNEBUNK, ME 04043
York County (207) 490-7801
KIMBERLY PROOS PARRILLO N.P.
Nurse Practitioner (Family)
2 LIVEWELL DR
KENNEBUNK, ME 04043
York County (207) 467-8988
KRISTINA BERNADETTE BURKS HALLIDAY LCSW
Social Worker (Clinical)
2 LIVEWELL DR, CROSSROADS
KENNEBUNK, ME 04043
York County (207) 467-3369
KRISTY M LAROCHE APRN-CNP
Nurse Practitioner (Family)
2 LIVEWELL DR
KENNEBUNK, ME 04043
York County (467) 880-0207
ALI ARSENAULT MS, OTR/L
Occupational Therapist
2 LIVEWELL DR
KENNEBUNK, ME 04043
York County (207) 467-6977
MS. HARPSWELL ENGMAN COFFIN FNP
Nurse Practitioner (Family)
2 LIVEWELL DR
KENNEBUNK, ME 04043
York County (207) 467-8988
MS. DEBRA B ALEXANDRE
Physical Therapist
2 LIVEWELL DR
KENNEBUNK, ME 04043
York County (207) 467-6977

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 Lise Cloutier's NPI number?

The NPI number for Lise Cloutier is 1386624096. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Lise Cloutier located?

Lise Cloutier practices at 2 Livewell Dr, Kennebunk, ME 04043. The listed phone number is (207) 467-8988.

What is Lise Cloutier's specialty?

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

Is Lise Cloutier enrolled in Medicare?

Yes. Lise Cloutier 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 Lise Cloutier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lise Cloutier reassigns Medicare benefits to 2 organizations: Mainehealth (Biddeford, ME) and Central Maine Medical Center (Lewiston, 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 Lise Cloutier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lise Cloutier accept?

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

According to CMS data, Lise Cloutier is affiliated with Maine Medical Center, Central Maine Medical Center and St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lise Cloutier was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.