JENNY T PISCULLI MD
NPI 1538190384
Family Medicine in Waterville, ME

Q: What is Jenny Pisculli's NPI number?

The NPI number for Jenny Pisculli is 1538190384. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Jenny Pisculli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenny Pisculli was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

79.27/100

CMS Quality Rating

149 NORTH ST, WATERVILLE, ME 04901(207) 861-5000(207) 861-5001 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Jenny T Pisculli Md NPPES

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

JENNY T PISCULLI MD (NPI 1538190384) is an individual family medicine provider in Waterville, Maine, licensed in Maine (017231) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1538190384

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNY T PISCULLICredential: MD

Location Address149 NORTH STWaterville, ME 04901-4974

Mailing Address149 North StWaterville, ME 04901-4974 · (207) 861-5000 · Fax (207) 861-5001

Phone(207) 861-5000

Fax(207) 861-5001

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 6, 2006

Last NPPES UpdateMay 31, 2019

✔ NPI 1538190384 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 · 017231

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.

149 NORTH ST, Waterville, ME 04901

Open in Google Maps ↗

Other Identifiers 1

Medicaid432678699ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jenny T Pisculli 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 ID6507884327

PECOS Enrollment IDI20060912000028

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 Reassignment

Medicare enrollment records show Jenny Pisculli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainegeneral Medical Center

16 mi

General Acute Care Hospital

35 MEDICAL CENTER PARKWAY
Augusta, ME 04330

Reassigned Medicare billing, Maine enrollment
978 clinicians in this Medicare group

NPI 1083949184 (207) 872-4454

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 7

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.

58 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

55 services29 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.

27 services27 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.

26 services18 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

23 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

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 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

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.

79.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.72

Promoting Interoperability

Improvement Activities

Cost

60.51

Referred Medical Equipment & Supplies CMS DME claims 5

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

7 suppliers13 claims48 services$4.65 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims330 services$4.16 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier16 claims480 services$6.89 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier19 claims9,576 services$0.40 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers22 claims22 services$7.80 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.

CATHERINE BATZ DO

Family Medicine