1. Home
  2. Directory
  3. Maine
  4. Westbrook
  5. Family Medicine
  6. NPI Profile

DARLENE PETERSON
NPI 1518353945
Family Medicine in Westbrook, ME

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
1 HARNOIS AVE, WESTBROOK, ME 04092(207) 661-3400(207) 661-3401 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darlene Peterson NPPES

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

DARLENE PETERSON (NPI 1518353945) is an individual family medicine provider in Westbrook, Maine, licensed in Maine (MD22545) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of University Of Vermont College Of Medicine (2015).

NPPES Registry Identity

NPI1518353945
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDARLENE PETERSON
Location Address1 HARNOIS AVEWestbrook, ME 04092-4392
Mailing Address1 Harnois AveWestbrook, ME 04092-4392 · (207) 661-3400 · Fax (207) 661-3401
Phone(207) 661-3400
Fax(207) 661-3401
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2015
Enumeration DateApril 13, 2015
Last NPPES UpdateSeptember 3, 2019
✔ NPI 1518353945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD22545
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.
1 HARNOIS AVE, Westbrook, ME 04092
Open in Google Maps ↗

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Darlene Peterson 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 ID4284948704
PECOS Enrollment IDI20191021000709
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 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.
135 services84 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.
55 services55 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.
27 services21 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.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

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 04092 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims20 services$16.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims20 services$87.73 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.

ELLIS A JOHNSON MD
Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1340
STEPHEN R HAYES M.D.
Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1340
JENNIFER K DEANE FNP
Nurse Practitioner (Family)
1 HARNOIS AVE, 2ND FLOOR
WESTBROOK, ME 04092
Cumberland County (207) 661-3400
LUCY MORGAN AMORY MD
Pediatrics
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1360
MARIA ROTHAUPT
Social Worker (Clinical)
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 661-3400
KRISTIN PARRIS MD
Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1340
MIKAYLA CHASE APRN-FNP
Nurse Practitioner (Family)
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1340
BRIGITTE SALEMBIER D.O.
Family Medicine
1 HARNOIS AVE, SUITE 2A
WESTBROOK, ME 04092
Cumberland County (207) 661-3400

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 Darlene Peterson's NPI number?

The NPI number for Darlene Peterson is 1518353945. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Darlene Peterson located?

Darlene Peterson practices at 1 Harnois Ave, Westbrook, ME 04092. The listed phone number is (207) 661-3400.

What is Darlene Peterson's specialty?

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

Is Darlene Peterson enrolled in Medicare?

Yes. Darlene Peterson 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.

What insurance does Darlene Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Darlene Peterson 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 Darlene Peterson affiliated with any hospitals?

According to CMS data, Darlene Peterson is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Darlene Peterson was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.