JOHN TIVNAN D.O.
NPI 1518315142
Pain Medicine - Interventional Pain Medicine in Bangor, ME
About John Tivnan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN TIVNAN D.O. (NPI 1518315142) is an individual interventional pain medicine provider in Bangor, Maine, licensed in Maine (DO3257) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Tivnan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Tivnan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 17 clinicians in this Medicare group
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 26
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BANGOR, ME 04401
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 John Tivnan's NPI number?
The NPI number for John Tivnan is 1518315142. It was assigned to this individual provider in the NPPES registry on May 24, 2016.
Where is John Tivnan located?
John Tivnan practices at 1365 Broadway, Bangor, ME 04401. The listed phone number is (207) 942-6226.
What is John Tivnan's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is John Tivnan enrolled in Medicare?
Yes. John Tivnan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Tivnan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Tivnan reassigns Medicare benefits to Northeast Pain Management, PC (Bangor, ME). The 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 John Tivnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Tivnan was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.