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DR. FRED E EMERSON MD
NPI 1487722278
Internal Medicine in Windham, ME

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
584 ROOSEVELT TRAIL, WINDHAM, ME 04062(207) 892-3233(207) 893-0752 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Fred E Emerson Md NPPES

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

DR. FRED E EMERSON MD (NPI 1487722278) is an individual internal medicine provider in Windham, Maine, licensed in Maine (MD18052) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Albany Medical College Of Union University (2005).

NPPES Registry Identity

NPI1487722278
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FRED E EMERSONCredential: MD
Location Address584 ROOSEVELT TRAILWindham, ME 04062-4904
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 892-3233
Fax(207) 893-0752
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2005
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 26, 2012
✔ NPI 1487722278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD18052
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License MD18052 (ME)
584 ROOSEVELT TRAIL, Windham, ME 04062
Open in Google Maps ↗

Other Identifiers 8

Medicaid30208517NH
Medicare PIN001142305ME
Medicare PIN001142301ME
Medicaid433831099MA
Medicare PINP00840182ME
Medicare PIN001142302ME
Medicare PIN001142303ME
Medicare PIN001142304ME

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

Dr. Fred E Emerson 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 ID7113079799
PECOS Enrollment IDI20090713000107
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 Fred Emerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Partners
Same address
Family Medicine
584 ROOSEVELT TRL
Windham, ME 04062
NPI 1144245028 (207) 892-3233
Mainehealth
Same address
Internal Medicine
584 ROOSEVELT TRL
Windham, ME 04062
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1023321593 (207) 892-3233

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 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 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.
152 services105 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 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.
61 services45 patients
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.
19 services19 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 04062 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 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
4 suppliers11 claims19 services$5.18 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.53 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

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

MELANIE P FITZSIMMONS MD
Internal Medicine
584 ROOSEVELT TRAIL
WINDHAM, ME 04062
Cumberland County (207) 892-3233

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 Fred Emerson's NPI number?

The NPI number for Fred Emerson is 1487722278. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Fred Emerson located?

Fred Emerson practices at 584 Roosevelt Trail, Windham, ME 04062. The listed phone number is (207) 892-3233.

What is Fred Emerson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fred Emerson enrolled in Medicare?

Yes. Fred Emerson 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 Fred Emerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Emerson reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Windham, ME) and Mainehealth (Windham, 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 Fred Emerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fred Emerson accept?

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

According to CMS data, Fred Emerson is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Fred Emerson was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.