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DR. JEFFERY JOSEPH DOROCIAK M.D. PHD
NPI 1407805328
Internal Medicine - Gastroenterology in Skowhegan, ME

Active since May 08, 2006PECOS Enrolled
46 FAIRVIEW AVE STE 221, SKOWHEGAN, ME 04976(207) 474-6945(207) 474-6933 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Jul 1, 2021, Dec 11, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Jeffery Joseph Dorociak M.d. Phd NPPES

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

DR. JEFFERY JOSEPH DOROCIAK M.D. PHD (NPI 1407805328) is an individual gastroenterology provider in Skowhegan, Maine, licensed in Maine (MD22232) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407805328
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JEFFERY JOSEPH DOROCIAKCredential: M.D. PHD
Location Address46 FAIRVIEW AVE STE 221Skowhegan, ME 04976-1481
Mailing Address571 Saint Josephs Blvd, Fl 2Elmira, NY 14901-3230 · (607) 271-2050 · Fax (607) 271-2099
Phone(207) 474-6945
Fax(207) 474-6933
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateSeptember 17, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1407805328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in ME · MD22232✔ Licensed in NY · 294166✔ Licensed in OH · 35.141191✔ Licensed in SC · 14495
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License 14495 (SC)
46 FAIRVIEW AVE STE 221, Skowhegan, ME 04976
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1101 Johns St, Sutie 430Florence, SC 29506-2777 · Phone (843) 777-7333 · Fax (843) 777-7334
Location 210600 Montgomery Rd Ste 300Montgomery, OH 45242-4464 · Phone (513) 794-5600
Location 3107 Omni Dr Ste ASeneca, SC 29672-9448 · Phone (864) 482-3285 · Fax (864) 482-3287

Other Identifiers 2

Medicaid1407805328ME
Medicaid144953SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffery Joseph Dorociak M.d. Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

6

Medicare enrollment records show Jeffery Dorociak reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nhcs Physicians, Inc.
742 mi
Hematology & Oncology
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 205 clinicians in this Medicare group
NPI 1932652492 (252) 962-8076
Carolina Family Care, Inc
906 mi
Family Medicine
805 PAMPLICO HWY
Florence, SC 29505
  • Reassigned Medicare billing, South Carolina enrollment
  • 509 clinicians in this Medicare group
NPI 1093076457 (843) 876-1344
Palmetto Health - University Of South Carolina Medical Group
938 mi
Family Medicine
115 N SUMTER ST STE 315
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health Medical Group-Midlands
  • 1,466 clinicians in this Medicare group
NPI 1295211894 (803) 934-0810
Anmed Health
970 mi
Family Medicine
2110 HIGHWAY 86 STE C
Piedmont, SC 29673
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1588685333 (South Carolina)
  • 381 clinicians in this Medicare group
NPI 1255137832 (864) 512-7018
Palmetto Digestive Disease PA
993 mi
Specialist
2073 CHARLIE HALL BLVD
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 26 clinicians in this Medicare group
NPI 1922057843 (843) 571-0643
Musc Community Physicians
995 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services40 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services29 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
23 services21 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04976 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LANCE TREVOR HOPKIN DPM
Podiatrist
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 858-8130
DR. MICHAEL J MONZEL MD
Internal Medicine (Gastroenterology)
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 474-6945
ANTONIO M GRANDA M.D.
Internal Medicine (Gastroenterology)
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 474-6945

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 Jeffery Dorociak's NPI number?

The NPI number for Jeffery Dorociak is 1407805328. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Jeffery Dorociak located?

Jeffery Dorociak practices at 46 Fairview Ave Ste 221, Skowhegan, ME 04976. The listed phone number is (207) 474-6945.

What is Jeffery Dorociak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeffery Dorociak enrolled in Medicare?

Yes. Jeffery Dorociak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffery Dorociak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Dorociak reassigns Medicare benefits to 6 organizations: Nhcs Physicians, Inc. (Rocky Mount, NC), Carolina Family Care, Inc (Florence, SC), Palmetto Health - University Of South Carolina Medical Group (Sumter, SC), Anmed Health (Piedmont, SC), Palmetto Digestive Disease PA (Charleston, SC) and 1 more organization, listed in the Medicare section above. 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 Jeffery Dorociak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffery Dorociak accept?

Health plans from BlueCross BlueShield of South Carolina and CareSource list Jeffery Dorociak 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 Jeffery Dorociak was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.