JOHN I PYNE MD
NPI 1447254115
Surgery - Surgery of the Hand in Bangor, ME

NPI Status: Active since June 09, 2005

Contact Information

78 RIDGEWOOD DR
BANGOR, ME
ZIP 04401
Phone: (207) 947-8381
Fax: (207) 947-6056

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  • Individual
  • Male
  • Surgery
  • Surgery of the Hand
  • PECOS Enrolled

About JOHN PYNE

This page provides the complete NPI Profile along with additional information for John Pyne, a provider established in Bangor, Maine with a medical specialization in Surgery, focusing in surgery of the hand . The healthcare provider is registered in the NPI registry with number 1447254115 assigned on June 2005. The practitioner's primary taxonomy code is 2086S0105X with license number 013747 (ME). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1447254115
Provider Name
JOHN I PYNE MD
Gender
Male
Entity Type
Individual
Location Address
78 RIDGEWOOD DR BANGOR, ME 04401
Location Phone
(207) 947-8381
Location Fax
(207) 947-6056
Mailing Address
78 RIDGEWOOD DR BANGOR, ME 04401
Mailing Phone
(207) 947-8381
Mailing Fax
(207) 947-6056
Is Sole Proprietor?
No
Enumeration Date
06-09-2005
Last Update Date
07-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Surgery of the Hand

Taxonomy Code
2086S0105X
Type
Allopathic & Osteopathic Physicians
License No.
013747
License State
ME
Taxonomy Description
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

013747 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
011499OTHER (01)ANTHEM
M67422OTHER (01)CIGNA
1040724OTHER (01)AETNA
2000028936OTHER (01)RR MEDICARE
09-01065OTHER (01)UNITED HC
304280099MEDICAID (05)ME 
ME0560OTHER (01)HP

Medicare Participation & PECOS Enrollment Status

John Pyne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf (HCPCS:L3908)

    1 DME suppliers used 18 Medicare Claims 19 Services Paid

  • DME-Orthotic Devices (DF000N)

    Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf (HCPCS:L3924)

    1 DME suppliers used 19 Medicare Claims 19 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from small joint

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

This service was performed 22 times for 17 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 27 times for 23 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 140 times for 89 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 69 times for 49 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 23 times for 13 patients

Injection into tendon or ligament

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

This service was performed 56 times for 31 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

This service was performed 91 times for 35 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 24 times for 17 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 20 times for 20 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 22 times for 19 patients

X-ray of finger, minimum of 2 views

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

This service was performed 27 times for 23 patients

X-ray of wrist, 2 views

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

This service was performed 22 times for 20 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.58
  • Minimum New Patient Price $53.26
  • Maximum New Patient Price $162.77
  • Average New Patient Copayment $20.64
  • Minimum New Patient Copayment $13.31
  • Maximum New Patient Copayment $40.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.74
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $132.79
  • Average Established Patient Copayment $16.68
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $33.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JOHN I PYNE MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447254115, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 4 + 5 + 8 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1447254115.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
78 RIDGEWOOD DR
BANGOR, ME 04401
Surgery (Surgery of the Hand)
78 RIDGEWOOD DR
BANGOR, ME 04401
Physical Therapist
78 RIDGEWOOD DR
BANGOR, ME 04401
Family Medicine
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery (Sports Medicine)
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
78 RIDGEWOOD DR
BANGOR, ME 04401
Specialist
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery (Hand Surgery)
78 RIDGEWOOD DR
BANGOR, ME 04401
Physician Assistant
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery (Hand Surgery)
78 RIDGEWOOD DR
BANGOR, ME 04401
Family Medicine (Sports Medicine)
78 RIDGEWOOD DR
BANGOR, ME 04401
Nurse Practitioner (Family)
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery
78 RIDGEWOOD DR
BANGOR, ME 04401
Physician Assistant
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery
78 RIDGEWOOD DR
BANGOR, ME 04401
Physician Assistant (Surgical)
78 RIDGEWOOD DR
BANGOR, ME 04401
Physician Assistant
78 RIDGEWOOD DR
BANGOR, ME 04401
Orthopaedic Surgery (Hand Surgery)
78 RIDGEWOOD DR
BANGOR, ME 04401
Family Medicine
78 RIDGEWOOD DR
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447254115, enumerated as an "individual" on June 09, 2005.

The provider is located at 78 RIDGEWOOD DR BANGOR, ME 04401 and the phone number is (207) 947-8381.

Surgery with taxonomy code 2086S0105X and a focus in Surgery of the Hand.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid, Cigna,. Please consult your insurance carrier or call the provider to verify.