ADAM A ALTER MD
NPI 1437478138
Internal Medicine - Pulmonary Disease in South Portland, ME

Active since May 20, 2010PECOS EnrolledAccepts Medicare Assignment
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106(207) 828-1122 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam A Alter Md NPPES

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

ADAM A ALTER MD (NPI 1437478138) is an individual pulmonary disease provider in South Portland, Maine, licensed in Maine (MC22206) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1437478138
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameADAM A ALTERCredential: MD
Location Address100 FODEN RD STE 103South Portland, ME 04106
Mailing Address65 Spruce StPortland, ME 04102-4068
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2010
Enumeration DateMay 20, 2010
Last NPPES UpdateAugust 14, 2019
NPI 1437478138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in ME · MC22206
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
100 FODEN RD STE 103, South Portland, ME 04106

Secondary Practice Location 1

Location 15050 NE HOYT ST, STE 540PORTLAND, OR 97213-2985 · Phone (503) 215-6600

Accepted 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

Adam A Alter 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 ID648410365
PECOS Enrollment IDI20180629001088
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 4

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.
116 services82 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.
54 services44 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.
37 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

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 04106 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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers39 claims39 services$38.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers20 claims20 services$95.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers25 claims63 services$37.66 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers13 claims64 services$21.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers22 claims22 services$55.57 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers30 claims30 services$18.84 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 16

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

Pediatrics (Pediatric Pulmonology)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Critical Care Medicine)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Adult Health)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Critical Care Medicine)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106

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 Adam Alter's NPI number?

The NPI number for Adam Alter is 1437478138. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Adam Alter located?

Adam Alter practices at 100 Foden Rd Ste 103, South Portland, ME 04106. The listed phone number is (207) 828-1122.

What is Adam Alter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Adam Alter enrolled in Medicare?

Yes. Adam Alter 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 Adam Alter accept?

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

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

When was this NPI record last updated?

The NPPES record for Adam Alter was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.