JEFFREY BADILLO MD
NPI 1619538964
Family Medicine in Lewiston, ME
About Jeffrey Badillo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY BADILLO MD (NPI 1619538964) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (EC191068) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey Badillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jeffrey Badillo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 920 clinicians in this Medicare group
Bridgton, ME 04009
- Reassigned Medicare billing, Maine enrollment
- 563 clinicians in this Medicare group
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 322 clinicians in this Medicare group
Rumford, ME 04276
- Reassigned Medicare billing, Maine enrollment
- 544 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Health
Acute Care Hospitals · Portland, MEMaine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04240 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffrey Badillo's NPI number?
The NPI number for Jeffrey Badillo is 1619538964. It was assigned to this individual provider in the NPPES registry on June 27, 2019.
Where is Jeffrey Badillo located?
Jeffrey Badillo practices at 76 High St, Lewiston, ME 04240. The listed phone number is (207) 795-2800.
What is Jeffrey Badillo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeffrey Badillo enrolled in Medicare?
Yes. Jeffrey Badillo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeffrey Badillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Badillo reassigns Medicare benefits to 4 organizations: Central Maine Medical Center (Lewiston, ME), Bridgton Hospital (Bridgton, ME), Mercy Hospital (Portland, ME) and Rumford Hospital (Rumford, 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 Jeffrey Badillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Badillo accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Jeffrey Badillo 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 Jeffrey Badillo affiliated with any hospitals?
According to CMS data, Jeffrey Badillo is affiliated with Northern Light Health and Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Jeffrey Badillo was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jeffrey Badillo, MD · NPI 1619538964
Family Medicine physician in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since June 27, 2019.
## Identity
- **NPI:** 1619538964 (Entity type: Individual)
- **Enumerated:** June 27, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** EC191068 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 76 HIGH ST, Lewiston, ME 04240-7649
- **Phone:** (207) 795-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Central Maine Medical Center (NPI 1689653487, Lewiston, ME); Bridgton Hospital (NPI 1154370153, Bridgton, ME); Mercy Hospital (NPI 1427313048, Portland, ME); Rumford Hospital (NPI 1205991122, Rumford, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1619538964) · Data from the CMS NPPES public registry.