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DAVID TAPLINGER M.D.
NPI 1427347012
Psychiatry & Neurology - Neurology in Scarborough, ME

Active since April 04, 2011PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
49 SPRING ST, SCARBOROUGH, ME 04074(207) 883-1414(207) 883-1010 Get Directions Write a Review

NPPES record last updated: August 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Taplinger M.d. NPPES

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

DAVID TAPLINGER M.D. (NPI 1427347012) is an individual neurology provider in Scarborough, Maine, licensed in Maine (MD21570) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Eastern Virginia Medical School (2011).

NPPES Registry Identity

NPI1427347012
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDAVID TAPLINGERCredential: M.D.
Location Address49 SPRING STScarborough, ME 04074-8926
Mailing Address190 Riverside Street, Suite 6bPortland, ME 04103
Phone(207) 883-1414
Fax(207) 883-1010
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2011
Enumeration DateApril 4, 2011
Last NPPES UpdateAugust 9, 2017
✔ NPI 1427347012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ME · MD21570
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
49 SPRING ST, Scarborough, ME 04074
Open in Google Maps ↗

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.Insurance ›

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

David Taplinger M.d. 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 ID4486882263
PECOS Enrollment IDI20170823003526
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 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.

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.
74 services67 patients
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.
48 services44 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
21 services12 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
19 services18 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.
18 services17 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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.

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.

GAYLE L ROBINSON PNP
Nurse Practitioner (Pediatrics)
49 SPRING ST
SCARBOROUGH, ME 04074
Cumberland County (207) 883-1414
KATIE S DELORME PT
Physical Therapist
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-0011
JAMES WILSON MD
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-0011
DR. JASON ALAN HELIS M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
49 SPRING ST
SCARBOROUGH, ME 04074
Cumberland County (207) 883-1414
JOHN BIRKNES M.D.
Neurological Surgery
49 SPRING ST
SCARBOROUGH, ME 04074
Cumberland County (207) 885-0011
MICHAEL J TOTTA M.D.
Physical Medicine & Rehabilitation
49 SPRING ST
SCARBOROUGH, ME 04074
Cumberland County (207) 885-0011
JESSE S RITCH PA-C
Physician Assistant (Surgical)
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-0011
WILLIAM F. D'ANGELO MD
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Cumberland County (207) 885-4479

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 David Taplinger's NPI number?

The NPI number for David Taplinger is 1427347012. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is David Taplinger located?

David Taplinger practices at 49 Spring St, Scarborough, ME 04074. The listed phone number is (207) 883-1414.

What is David Taplinger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is David Taplinger enrolled in Medicare?

Yes. David Taplinger 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.

What insurance does David Taplinger accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list David Taplinger 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 David Taplinger affiliated with any hospitals?

According to CMS data, David Taplinger is affiliated with Maine Medical Center and Penobscot Bay Medical Center.

When was this NPI record last updated?

The NPPES record for David Taplinger was last updated on August 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.