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BRIAN J MCGRORY MD
NPI 1396746426
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Falmouth, ME

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
5 BUCKNAM RD, SUITE 1D, FALMOUTH, ME 04105(207) 781-1551(207) 781-1552 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian J Mcgrory Md NPPES

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

BRIAN J MCGRORY MD (NPI 1396746426) is an individual adult reconstructive orthopaedic surgery provider in Falmouth, Maine, licensed in Maine (MD13992) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1989).

NPPES Registry Identity

NPI1396746426
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameBRIAN J MCGRORYCredential: MD
Location Address5 BUCKNAM RD, SUITE 1DFalmouth, ME 04105-1392
Mailing Address5 Bucknam Rd Ste 1dFalmouth, ME 04105-1208 · (207) 781-1551 · Fax (207) 781-1552
Phone(207) 781-1551
Fax(207) 781-1552
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1989
Enumeration DateAugust 10, 2005
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1396746426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in ME · MD13992
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD13992 (ME)
5 BUCKNAM RD, Falmouth, ME 04105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.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

Brian J Mcgrory 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 ID4385674894
PECOS Enrollment IDI20050815000765
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 Brian Mcgrory reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Partners
Same address
Orthopaedic Surgery
5 BUCKNAM RD, SUITE 1D
Falmouth, ME 04105
  • Reassigned Medicare billing, Maine enrollment
  • 264 clinicians in this Medicare group
NPI 1891083119 (207) 781-1551
Mainehealth
Same address
Pediatrics
5 BUCKNAM RD, SUITE 1D
Falmouth, ME 04105
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1629382601 (207) 781-1775

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 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.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
66 services64 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
63 services62 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
60 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
34 services32 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.
30 services29 patients

Hospital Affiliations CMS Care Compare 4

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

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

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

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

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

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.

MARK P. BOUCHARD MD
Family Medicine
5 BUCKNAM RD, SUITE 2C
FALMOUTH, ME 04105
Cumberland County (207) 781-1500
ROBERT ANDREW FULTON MD
Internal Medicine
5 BUCKNAM RD, SUITE 2B
FALMOUTH, ME 04105
Cumberland County (207) 781-1600
ALLISON H LANDES M.D.
Pediatrics
5 BUCKNAM RD, SUITE 1D
FALMOUTH, ME 04105
Cumberland County (207) 781-1775
ABIGAIL GALLANT PA-C
Physician Assistant
5 BUCKNAM RD
FALMOUTH, ME 04105
Cumberland County (207) 781-1551
DR. GREGGUS WINER YAHR PHD, NCSP
Counselor (Mental Health)
5 BUCKNAM RD, SUITE 1G
FALMOUTH, ME 04105
Cumberland County (207) 781-1572
ELIZABETH LORRAINE MOORE FNP-C
Nurse Practitioner
5 BUCKNAM RD
FALMOUTH, ME 04105
Cumberland County (207) 781-1551
ELIZABETH B EISENHARDT MD
Internal Medicine
5 BUCKNAM RD, SUITE 2C
FALMOUTH, ME 04105
Cumberland County (207) 781-1500
TEVIS H GEARAN MD
Internal Medicine
5 BUCKNAM RD, SUITE 2B
FALMOUTH, ME 04105
Cumberland County (207) 662-1622

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 Brian Mcgrory's NPI number?

The NPI number for Brian Mcgrory is 1396746426. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Brian Mcgrory located?

Brian Mcgrory practices at 5 Bucknam Rd Suite 1D, Falmouth, ME 04105. The listed phone number is (207) 781-1551.

What is Brian Mcgrory's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Brian Mcgrory enrolled in Medicare?

Yes. Brian Mcgrory 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 Brian Mcgrory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Mcgrory reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Falmouth, ME) and Mainehealth (Falmouth, 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 Brian Mcgrory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Mcgrory accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Brian Mcgrory 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 Brian Mcgrory affiliated with any hospitals?

According to CMS data, Brian Mcgrory is affiliated with Maine Medical Center, Maine General Medical Center, Penobscot Bay Medical Center and Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Brian Mcgrory was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.