DR. MARY IACULLI D.O.
NPI 1407266778
Family Medicine - Sports Medicine in Portland, ME

Q: What is Mary Iaculli's NPI number?

The NPI number for Mary Iaculli is 1407266778. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Q: What is Mary Iaculli's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Mary Iaculli was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 07, 2014PECOS Enrolled

59.93/100

CMS Quality Rating

331 VERANDA ST, PORTLAND, ME 04103(207) 828-2402 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2020, Mar 17, 2018, Jul 18, 2017 (3 updates tracked since 2017).

On this page

About Dr. Mary Iaculli D.o. NPPES

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

DR. MARY IACULLI D.O. (NPI 1407266778) is an individual sports medicine provider in Portland, Maine, licensed in Maine (DO2695) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2014).

NPPES Registry Identity

NPI1407266778

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDR. MARY IACULLICredential: D.O.

Location Address331 VERANDA STPortland, ME 04103-5545

Mailing AddressPo Box 9746Portland, ME 04104-5040

Phone(207) 828-2402

Sole ProprietorYes

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2014

Enumeration DateMay 7, 2014

Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1407266778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in ME · DO2695

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

331 VERANDA ST, Portland, ME 04103

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Iaculli D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032338678

PECOS Enrollment IDI20181001001613

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 9

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.

168 services81 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

105 services56 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.

49 services38 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.

35 services35 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

20 services16 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

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.

59.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.97

Promoting Interoperability

Improvement Activities

Cost

60.12

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.

LINDA K MORRISON MD

Ophthalmology

331 VERANDA ST
PORTLAND, ME 04103

Cumberland County (207) 828-2402

MR. DAVID GHIORSE PA-C

Physician Assistant

331 VERANDA ST, MARTINS POINT HEALTH CARE
PORTLAND, ME 04103

Cumberland County (207) 828-2402

CARLEEN KNIGHT NP

Nurse Practitioner

331 VERANDA ST
PORTLAND, ME 04103

Cumberland County (207) 828-2402

JOSHUA GELFAND DPT

Physical Therapist

331 VERANDA ST, BUILDING 6, ROOM 3311
PORTLAND, ME 04103

Cumberland County (207) 536-0702

JAMES MCILHENNY RIDDLEBERGER M.D.

Family Medicine

331 VERANDA ST
PORTLAND, ME 04103

Cumberland County (207) 828-2402

GEORGE NICHOLAS WELCH MD

Internal Medicine (Cardiovascular Disease)

331 VERANDA ST
PORTLAND, ME 04103

Cumberland County (207) 828-2402

DR. DOUGLAS COUPER MD

Internal Medicine

331 VERANDA ST
PORTLAND, ME 04103

Cumberland County (207) 791-3796

DR. WILLIAM R WADLAND MD

Family Medicine (Geriatric Medicine)

331 VERANDA ST
PORTLAND, ME 04103

Cumberland County (207) 828-2402

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 Mary Iaculli's NPI number?

The NPI number for Mary Iaculli is 1407266778. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Mary Iaculli located?

Mary Iaculli practices at 331 Veranda St, Portland, ME 04103. The listed phone number is (207) 828-2402.

What is Mary Iaculli's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Mary Iaculli enrolled in Medicare?

Yes. Mary Iaculli is registered in the Medicare PECOS enrollment system.

What insurance does Mary Iaculli accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Iaculli 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.

When was this NPI record last updated?

The NPPES record for Mary Iaculli was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.