JONATHAN G EVANS M.D.
NPI 1568460640
Internal Medicine - Pulmonary Disease in South Portland, ME

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
8.26/100
CMS Quality Rating
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106(207) 828-1122 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2018, Sep 20, 2018 (2 updates tracked since 2018).

About Jonathan G Evans M.d. NPPES

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

JONATHAN G EVANS M.D. (NPI 1568460640) is an individual pulmonary disease provider in South Portland, Maine, licensed in Tennessee (MD0000024656) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1568460640
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJONATHAN G EVANSCredential: M.D.
Location Address100 FODEN RD STE 103South Portland, ME 04106-2327
Mailing Address3443 Dickerson Pike, Suite 680Nashville, TN 37207-2519 · (615) 865-3322 · Fax (615) 467-6692
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1988
Enumeration DateJuly 12, 2005
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1568460640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in TN · MD0000024656 Licensed in ME · MD27860
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 24656 (TN)
100 FODEN RD STE 103, South Portland, ME 04106

Other Names 1

Professional Name (2)Jonathan G Evans M.d.

Secondary Practice Locations 4

Location 13443 Dickerson Pike, SUITE 680Nashville, TN 37207-2519 · Phone (615) 865-3322 · Fax (615) 467-6692
Location 2491 Sage Rd N Ste 400White House, TN 37188-9361 · Phone (615) 865-3322 · Fax (615) 891-2700
Location 3100 Northcrest DrSpringfield, TN 37172-3927 · Phone (615) 865-3322 · Fax (615) 467-6692
Location 4111 Franklin Health CmnsFarmington, ME 04938-6144 · Phone (207) 779-2734

Other Identifiers 4

Other621632725TN · Tax Id
Medicaid64014905KY
Medicaid3076519TN
Other621701777TN · Tax Id

Accepted 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

Jonathan G Evans 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 ID4880866433
PECOS Enrollment IDI20240214000169
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 10

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.
199 services178 patients
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.
90 services90 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
48 services48 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
34 services33 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
31 services31 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

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 04106 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
$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.

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.

8.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost27.56

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers198 claims198 services$31.87 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers11 claims22 services$1.41 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers32 claims32 services$13.91 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
3 suppliers25 claims25 services$1.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers149 claims149 services$79.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers148 claims409 services$30.35 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Pulmonology)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Critical Care Medicine)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Adult Health)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106

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 Jonathan Evans's NPI number?

The NPI number for Jonathan Evans is 1568460640. It was assigned to this individual provider in the NPPES registry on July 12, 2005. The provider is also known as Jonathan G Evans M.D..

Where is Jonathan Evans located?

Jonathan Evans practices at 100 Foden Rd Ste 103, South Portland, ME 04106. The listed phone number is (207) 828-1122.

What is Jonathan Evans's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jonathan Evans enrolled in Medicare?

Yes. Jonathan Evans 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 Jonathan Evans accept?

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

According to CMS data, Jonathan Evans is affiliated with Northern Light Health, Maine Medical Center and Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Evans was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.