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ROBERT J DOIRON MD, MAS
NPI 1598028300
Surgery in Biddeford, ME

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
9 HEALTHCARE DR, BIDDEFORD, ME 04005(207) 284-2630 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2021, Feb 5, 2020 (2 updates tracked since 2020).

About Robert J Doiron Md, Mas NPPES

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

ROBERT J DOIRON MD, MAS (NPI 1598028300) is an individual surgery provider in Biddeford, Maine, licensed in Maine (MD23480) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1598028300
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROBERT J DOIRONCredential: MD, MAS
Location Address9 HEALTHCARE DRBiddeford, ME 04005-9449
Mailing Address9 Healthcare Dr Ste 204Biddeford, ME 04005-9450 · (207) 284-2640
Phone(207) 284-2630
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2012
Enumeration DateJune 18, 2012
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1598028300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ME · MD23480✔ Licensed in CA · A127346
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.
9 HEALTHCARE DR, Biddeford, ME 04005
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Secondary Practice Locations 3

Location 125 June StSanford, ME 04073-2621 · Phone (207) 324-4310
Location 241 Donald B Dean Dr Ste ASouth Portland, ME 04106-3252 · Phone (207) 661-6064
Location 322 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-0111

Accepted Insurance

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

Robert J Doiron Md, Mas 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 ID2769710268
PECOS Enrollment IDI20210419000014
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 6

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.
35 services35 patients
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.
34 services30 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.
18 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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

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.

ZORICA BAJIC PA-C
Physician Assistant (Surgical)
9 HEALTHCARE DR, SUITE 204
BIDDEFORD, ME 04005
York County (207) 283-1427
KATHERINE K. YANAGISAWA D.O.
Pediatrics
9 HEALTHCARE DR
BIDDEFORD, ME 04005
York County (207) 282-7531
JILL L GAGNE FNP
Nurse Practitioner (Family)
9 HEALTHCARE DR, SUITE 105
BIDDEFORD, ME 04005
York County (207) 282-3666
SARAH MARIE VISINSKI APRN
Nurse Practitioner (Adult Health)
9 HEALTHCARE DR
BIDDEFORD, ME 04005
York County (207) 283-7000
LISA ARSENAULT ANP
Nurse Practitioner (Adult Health)
9 HEALTHCARE DR, SUITE 202
BIDDEFORD, ME 04005
York County (207) 283-1427
DR. CYNTHIA A PATRAITIS DO
Pediatrics
9 HEALTHCARE DR, SUITE 208
BIDDEFORD, ME 04005
York County (207) 282-7531
IGOR PROKOPIW M.D.
Internal Medicine (Gastroenterology)
9 HEALTHCARE DR, SUITE 202
BIDDEFORD, ME 04005
York County (207) 283-1427
COLIN SORBER PA
Physician Assistant (Medical)
9 HEALTHCARE DR
BIDDEFORD, ME 04005
York County (207) 282-3666

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 Robert Doiron's NPI number?

The NPI number for Robert Doiron is 1598028300. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Robert Doiron located?

Robert Doiron practices at 9 Healthcare Dr, Biddeford, ME 04005. The listed phone number is (207) 284-2630.

What is Robert Doiron's specialty?

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

Is Robert Doiron enrolled in Medicare?

Yes. Robert Doiron 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 Robert Doiron accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Robert Doiron 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 Robert Doiron affiliated with any hospitals?

According to CMS data, Robert Doiron is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Doiron was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.