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IGOR PROKOPIW M.D.
NPI 1457337602
Internal Medicine - Gastroenterology in Biddeford, ME

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
9 HEALTHCARE DR, SUITE 202, BIDDEFORD, ME 04005(207) 283-1427(207) 283-1429 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Igor Prokopiw M.d. NPPES

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

IGOR PROKOPIW M.D. (NPI 1457337602) is an individual gastroenterology provider in Biddeford, Maine, licensed in Maine (016107) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1457337602
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameIGOR PROKOPIWCredential: M.D.
Location Address9 HEALTHCARE DR, SUITE 202Biddeford, ME 04005-9449
Mailing Address9 Healthcare Dr, Suite 201Biddeford, ME 04005-9449 · (207) 282-9080 · Fax (207) 282-9180
Phone(207) 283-1427
Fax(207) 283-1429
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateDecember 20, 2005
Last NPPES UpdateJanuary 25, 2011
✔ NPI 1457337602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in ME · 016107
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.
9 HEALTHCARE DR, Biddeford, ME 04005
Open in Google Maps ↗

Other Identifiers 8

Other099888ME · Anthem
Medicaid255930099ME
Medicare PINMM999402ME
Medicare UPINH86756ME
Other7898906ME · Cigna
Medicare PINMM999401ME
Other1643593ME · Aetna
Other305071ME · Harvard Pilgrim Healthcar

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, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Igor Prokopiw 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 ID4688761893
PECOS Enrollment IDI20071106000073
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

2

Medicare enrollment records show Igor Prokopiw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Webber Hospital Association
0.4 mi
Surgery
3 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
NPI 1023281078 (207) 284-4597
Mainehealth
0.5 mi
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1215417019 (207) 283-7000

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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
130 services130 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
47 services47 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.
44 services44 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.
40 services40 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.
24 services24 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
2 suppliers14 claims310 services$5.93 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers11 claims310 services$4.92 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 20

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

ZORICA BAJIC PA-C
Physician Assistant (Surgical)
9 HEALTHCARE DR, SUITE 204
BIDDEFORD, ME 04005
York County (207) 283-1427
KATHERINE K. YANAGISAWA D.O.
Pediatrics
9 HEALTHCARE DR
BIDDEFORD, ME 04005
York County (207) 282-7531
JILL L GAGNE FNP
Nurse Practitioner (Family)
9 HEALTHCARE DR, SUITE 105
BIDDEFORD, ME 04005
York County (207) 282-3666
SARAH MARIE VISINSKI APRN
Nurse Practitioner (Adult Health)
9 HEALTHCARE DR
BIDDEFORD, ME 04005
York County (207) 283-7000
LISA ARSENAULT ANP
Nurse Practitioner (Adult Health)
9 HEALTHCARE DR, SUITE 202
BIDDEFORD, ME 04005
York County (207) 283-1427
DR. CYNTHIA A PATRAITIS DO
Pediatrics
9 HEALTHCARE DR, SUITE 208
BIDDEFORD, ME 04005
York County (207) 282-7531
COLIN SORBER PA
Physician Assistant (Medical)
9 HEALTHCARE DR
BIDDEFORD, ME 04005
York County (207) 282-3666
DANIELLE KLEPPER TERPAK APRN
Nurse Practitioner (Acute Care)
9 HEALTHCARE DR
BIDDEFORD, ME 04005
York County (207) 283-1427

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 Igor Prokopiw's NPI number?

The NPI number for Igor Prokopiw is 1457337602. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Igor Prokopiw located?

Igor Prokopiw practices at 9 Healthcare Dr Suite 202, Biddeford, ME 04005. The listed phone number is (207) 283-1427.

What is Igor Prokopiw's specialty?

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

Is Igor Prokopiw enrolled in Medicare?

Yes. Igor Prokopiw 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.

Which organizations bill Medicare for Igor Prokopiw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Igor Prokopiw reassigns Medicare benefits to 2 organizations: Webber Hospital Association (Biddeford, ME) and Mainehealth (Biddeford, ME). 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 Igor Prokopiw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Igor Prokopiw accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Igor Prokopiw 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 Igor Prokopiw affiliated with any hospitals?

According to CMS data, Igor Prokopiw is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Igor Prokopiw was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.