BILJANA BERETICH MD
NPI 1609915602
Psychiatry & Neurology - Neurology in Scarborough, ME

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
49 SPRING ST, 2ND FLOOR, SCARBOROUGH, ME 04074(207) 883-1414(207) 883-1010 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Biljana Beretich Md NPPES

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

BILJANA BERETICH MD (NPI 1609915602) is an individual neurology provider in Scarborough, Maine, licensed in Maine (MD18124) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1609915602
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameBILJANA BERETICHCredential: MD
Location Address49 SPRING ST, 2ND FLOORScarborough, ME 04074-8926
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 883-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 6, 2007
Last NPPES UpdateOctober 8, 2012
NPI 1609915602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in ME · MD18124
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
49 SPRING ST, Scarborough, ME 04074

Other Identifiers 6

Medicaid434525399ME
Medicaid30209415NH
Medicare PIN001325601ME
Medicare PIN001325603ME
Medicare PINP01073652ME
Medicare PIN001325602ME

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

Biljana Beretich 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 ID4688711567
PECOS Enrollment IDI20091026000508
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services46 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
29 services29 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
29 services17 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
13 services13 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 04074 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.

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.

Nurse Practitioner (Pediatrics)
49 SPRING ST
SCARBOROUGH, ME 04074
Physical Therapist
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
49 SPRING ST
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST
SCARBOROUGH, ME 04074
Physical Medicine & Rehabilitation
49 SPRING ST
SCARBOROUGH, ME 04074
Physician Assistant (Surgical)
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074

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 Biljana Beretich's NPI number?

The NPI number for Biljana Beretich is 1609915602. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Biljana Beretich located?

Biljana Beretich practices at 49 Spring St 2nd Floor, Scarborough, ME 04074. The listed phone number is (207) 883-1414.

What is Biljana Beretich's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Biljana Beretich enrolled in Medicare?

Yes. Biljana Beretich 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 Biljana Beretich accept?

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

According to CMS data, Biljana Beretich is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Biljana Beretich was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.