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EDWARD J QUINLAN III M.D.
NPI 1558327304
Internal Medicine - Cardiovascular Disease in Portland, ME

Active since April 21, 2006PECOS Enrolled
331 VERANDA ST, PORTLAND, ME 04103(207) 828-2402(207) 828-2425 Get Directions Write a Review

NPPES record last updated: December 24, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward J Quinlan Iii M.d. NPPES

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

EDWARD J QUINLAN III M.D. (NPI 1558327304) is an individual cardiovascular disease provider in Portland, Maine, licensed in Maine (012794) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558327304
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameEDWARD J QUINLAN IIICredential: M.D.
Location Address331 VERANDA STPortland, ME 04103-5545
Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 828-2402 · Fax (207) 828-2425
Phone(207) 828-2402
Fax(207) 828-2425
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateDecember 24, 2015
✔ NPI 1558327304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in ME · 012794
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
331 VERANDA ST, Portland, ME 04103
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINE73204
Other1040970ME · Aetna
Medicare PINMM359701ME
Other017215ME · Anthem
Medicaid285820099ME
OtherE73204ME · Harvard Pilgrim

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward J Quinlan Iii M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edward Quinlan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martin's Point Health Care, Inc.
0.1 mi
Family Medicine
331 VERANDA ST
Portland, ME 04104
  • Reassigned Medicare billing, Maine enrollment
  • 153 clinicians in this Medicare group
NPI 1366474611 (207) 791-3888
Webber Hospital Association
19 mi
Pediatrics
473 ALFRED ST
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
NPI 1942403266 (207) 283-9031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,898 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,038 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
66%270 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%732 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%2,246 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%1,561 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 830 patients
Patients tobacco: 10% · 30 patients
88%830 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,246 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
57%2,246 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
55%2,246 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LINDA K MORRISON MD
Ophthalmology
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
MR. DAVID GHIORSE PA-C
Physician Assistant
331 VERANDA ST, MARTINS POINT HEALTH CARE
PORTLAND, ME 04103
Cumberland County (207) 828-2402
CARLEEN KNIGHT NP
Nurse Practitioner
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
JOSHUA GELFAND DPT
Physical Therapist
331 VERANDA ST, BUILDING 6, ROOM 3311
PORTLAND, ME 04103
Cumberland County (207) 536-0702
JAMES MCILHENNY RIDDLEBERGER M.D.
Family Medicine
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
GEORGE NICHOLAS WELCH MD
Internal Medicine (Cardiovascular Disease)
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
DR. DOUGLAS COUPER MD
Internal Medicine
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 791-3796
DR. WILLIAM R WADLAND MD
Family Medicine (Geriatric Medicine)
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402

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 Edward Quinlan's NPI number?

The NPI number for Edward Quinlan is 1558327304. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Edward Quinlan located?

Edward Quinlan practices at 331 Veranda St, Portland, ME 04103. The listed phone number is (207) 828-2402.

What is Edward Quinlan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Edward Quinlan enrolled in Medicare?

Yes. Edward Quinlan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edward Quinlan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Quinlan reassigns Medicare benefits to 2 organizations: Martin's Point Health Care, Inc. (Portland, ME) and Webber Hospital Association (Biddeford, ME). Each 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 Edward Quinlan'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 Edward Quinlan was last updated on December 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.