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TIMOTHY LOUIS FITZGERALD M.D.
NPI 1518935972
Surgery in Portland, ME

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
887 CONGRESS ST SUITE 400, PORTLAND, ME 04102(207) 774-6368(207) 774-9388 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2017, Feb 8, 2017 (2 updates tracked since 2017).

About Timothy Louis Fitzgerald M.d. NPPES

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

TIMOTHY LOUIS FITZGERALD M.D. (NPI 1518935972) is an individual surgery provider in Portland, Maine, licensed in Maine (MD21384) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1518935972
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTIMOTHY LOUIS FITZGERALDCredential: M.D.
Location Address887 CONGRESS ST SUITE 400Portland, ME 04102-3100
Mailing Address190 Riverside St, Suite 6bPortland, ME 04103-6914 · (207) 661-2000 · Fax (207) 661-2033
Phone(207) 774-6368
Fax(207) 774-9388
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateMarch 10, 2006
Last NPPES UpdateApril 27, 20172 updates tracked since enumeration
✔ NPI 1518935972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ME · MD21384
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
887 CONGRESS ST SUITE 400, Portland, ME 04102
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Other Identifiers 2

Medicare PINE400354419ME
Medicare PINE400354421ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, 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

Timothy Louis Fitzgerald M.d. 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 ID7517984354
PECOS Enrollment IDI20170110002831
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
45 services38 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.
32 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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 Timothy Fitzgerald's NPI number?

The NPI number for Timothy Fitzgerald is 1518935972. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Timothy Fitzgerald located?

Timothy Fitzgerald practices at 887 Congress St Suite 400, Portland, ME 04102. The listed phone number is (207) 774-6368.

What is Timothy Fitzgerald's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Fitzgerald enrolled in Medicare?

Yes. Timothy Fitzgerald 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 Timothy Fitzgerald accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care list Timothy Fitzgerald 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 Timothy Fitzgerald affiliated with any hospitals?

According to CMS data, Timothy Fitzgerald is affiliated with Maine Medical Center, St Mary's Regional Medical Center, Maine General Medical Center, Penobscot Bay Medical Center and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Timothy Fitzgerald was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.