MATTHEW FASOLINO DO
NPI 1477081990
Family Medicine in Portland, ME

Q: What is Matthew Fasolino's NPI number?

The NPI number for Matthew Fasolino is 1477081990. It was assigned to this individual provider in the NPPES registry on May 29, 2017.

Q: What is Matthew Fasolino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Fasolino was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since May 29, 2017PECOS Enrolled

272 CONGRESS ST, PORTLAND, ME 04101(207) 662-5856 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2020, May 29, 2017 (2 updates tracked since 2017).

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About Matthew Fasolino Do NPPES

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

MATTHEW FASOLINO DO (NPI 1477081990) is an individual family medicine provider in Portland, Maine, licensed in Maine (DO2951) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gorham.

NPPES Registry Identity

NPI1477081990

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW FASOLINOCredential: DO

Location Address272 CONGRESS STPortland, ME 04101-3637

Mailing Address272 Congress StPortland, ME 04101-3637 · (207) 662-5856

Phone(207) 662-5856

Sole ProprietorNo

Enumeration DateMay 29, 2017

Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration

NPPES CertifiedJuly 31, 2025

✔ NPI 1477081990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · DO2951

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

272 CONGRESS ST, Portland, ME 04101

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Secondary Practice Location 1

Location 1341 Main StGorham, ME 04038-1309 · Phone (207) 632-0763 · Fax (207) 222-0157

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Fasolino Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers14 claims21 services$5.41 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057

DME-Orthotic Devices · category DF010N

1 supplier13 claims115 services$8.06 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.

FRANCIS A BELLINO MD

Family Medicine