DR. PAUL A PARKER MD
NPI 1649278029
Internal Medicine - Nephrology in Portland, ME

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1600B CONGRESS ST, PORTLAND, ME 04102(207) 774-5222(207) 761-4433 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul A Parker Md NPPES

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

DR. PAUL A PARKER MD (NPI 1649278029) is an individual nephrology provider in Portland, Maine, licensed in Maine (9867) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1978).

NPPES Registry Identity

NPI1649278029
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PAUL A PARKERCredential: MD
Location Address1600B CONGRESS STPortland, ME 04102-2124
Mailing Address1600b Congress StPortland, ME 04102-2124 · (207) 774-5222 · Fax (207) 776-4433
Fax(207) 761-4433
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1978
Enumeration DateJuly 11, 2005
Last NPPES UpdateMarch 22, 2016
NPI 1649278029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in ME · 9867
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1600B CONGRESS ST, Portland, ME 04102

Other Identifiers 4

Medicare UPINDO3535ME
Medicare PINMM003202ME
Medicare ID-Type UnspecifiedMM0032ME
Medicaid306590099ME

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

Dr. Paul A Parker 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 ID9638115546
PECOS Enrollment IDI20050630000784
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 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.

Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
140 services31 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
22 services11 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
19 services15 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 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.

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 13

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

Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
PORTLAND, ME 04102
Physician Assistant
1600B CONGRESS ST
PORTLAND, ME 04102
Nurse Practitioner (Acute Care)
1600B CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600B CONGRESS ST
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 Paul Parker's NPI number?

The NPI number for Paul Parker is 1649278029. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Paul Parker located?

Paul Parker practices at 1600B Congress St, Portland, ME 04102. The listed phone number is (207) 774-5222.

What is Paul Parker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Paul Parker enrolled in Medicare?

Yes. Paul Parker 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.

Is Paul Parker affiliated with any hospitals?

According to CMS data, Paul Parker is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Parker was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.