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DR. LESLEY MONTGOMERY FERNOW MD
NPI 1497863450
Internal Medicine in Dover Foxcroft, ME

Active since August 29, 2006PECOS Enrolled
100/100
CMS Quality Rating
1048 SOUTH ST, DOVER FOXCROFT, ME 04426(207) 564-7131(207) 564-7209 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lesley Montgomery Fernow Md NPPES

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

DR. LESLEY MONTGOMERY FERNOW MD (NPI 1497863450) is an individual internal medicine provider in Dover Foxcroft, Maine, licensed in Maine (9847) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497863450
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LESLEY MONTGOMERY FERNOWCredential: MD
Location Address1048 SOUTH STDover Foxcroft, ME 04426-1232
Mailing Address80 Cotton Brook RdDover Foxcroft, ME 04426-3902 · (207) 564-3934
Phone(207) 564-7131
Fax(207) 564-7209
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497863450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · 9847
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.
1048 SOUTH ST, Dover Foxcroft, ME 04426
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC66241ME
Medicare ID-Type Unspecified022208ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lesley Montgomery Fernow Md 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.

Areas of Expertise CMS Part B claims

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04426 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.11
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.93 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims88 services$2.51 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$6.01 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$3.46 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 12

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

AMY DAHLBERG LCSW-C
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
WELLNESS CENTER OF MAINE
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
CHRISTINA INGEMI LCPC-C
Counselor (Mental Health)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
STACEY DURAN LCSW-C
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
JODI L CUMMINGS MCGARY LCSW
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
JASON MILLS
Counselor (Mental Health)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
DR. DAVID P FRASZ MD
Ophthalmology
1048 SOUTH ST, SUITE 300
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-8441
SHASTA MINERY LCSW
Counselor (Mental Health)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000

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 Lesley Fernow's NPI number?

The NPI number for Lesley Fernow is 1497863450. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Lesley Fernow located?

Lesley Fernow practices at 1048 South St, Dover Foxcroft, ME 04426. The listed phone number is (207) 564-7131.

What is Lesley Fernow's specialty?

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

Is Lesley Fernow enrolled in Medicare?

Yes. Lesley Fernow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lesley Fernow was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.