LYDIA RUSSELL-ROY MD
NPI 1609308162
Obstetrics & Gynecology in Portland, ME
About Lydia Russell-roy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA RUSSELL-ROY MD (NPI 1609308162) is an individual obstetrics & gynecology provider in Portland, Maine, licensed in Maine (MD27683) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Lydia Russell-roy 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lydia Russell-roy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MEPhysician 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04102
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 Lydia Russell-roy's NPI number?
The NPI number for Lydia Russell-roy is 1609308162. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Lydia Russell-roy located?
Lydia Russell-roy practices at 887 Congress St Ste 200, Portland, ME 04102. The listed phone number is (207) 771-5549.
What is Lydia Russell-roy's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lydia Russell-roy enrolled in Medicare?
Yes. Lydia Russell-roy 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.
Which organizations bill Medicare for Lydia Russell-roy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Russell-roy reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Southern California Permanente Medical Group (Lancaster, CA). 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 Lydia Russell-roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lydia Russell-roy accept?
Health plans from Ambetter from NH Healthy Families, Harvard Pilgrim Health Care and Taro Health list Lydia Russell-roy 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 Lydia Russell-roy affiliated with any hospitals?
According to CMS data, Lydia Russell-roy is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Lydia Russell-roy was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Lydia Russell-Roy, MD · NPI 1609308162
Obstetrics & Gynecology physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1609308162 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD27683 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 887 CONGRESS ST STE 200, Portland, ME 04102-3166
- **Phone:** (207) 771-5549 · **Fax:** (207) 771-7834
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1063726891, Portland, ME); Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** August 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609308162) · Data from the CMS NPPES public registry.