DANIEL S OPPENHEIM M.D.
NPI 1659300515
Internal Medicine - Endocrinology, Diabetes & Metabolism in Scarborough, ME

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
175 US ROUTE 1, SCARBOROUGH, ME 04074(207) 885-7700(207) 885-7701 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel S Oppenheim M.d. NPPES

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

DANIEL S OPPENHEIM M.D. (NPI 1659300515) is an individual endocrinology, diabetes & metabolism provider in Scarborough, Maine, licensed in Maine (MD12692) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1983).

NPPES Registry Identity

NPI1659300515
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDANIEL S OPPENHEIMCredential: M.D.
Location Address175 US ROUTE 1Scarborough, ME 04074-9048
Mailing Address301 Us Route 1Scarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 885-7701
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1983
Enumeration DateJuly 2, 2006
Last NPPES UpdateFebruary 17, 2012
NPI 1659300515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in ME · MD12692
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD12692 (ME)
175 US ROUTE 1, Scarborough, ME 04074

Other Identifiers 6

Medicare PINMM2548ME
Medicare UPINE61092
Medicare PINMM254802ME
Medicare PINMM254801ME
Medicaid271200099ME
Medicare PIN460002366ME

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

Daniel S Oppenheim M.d. 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 ID6406898899
PECOS Enrollment IDI20050525001087
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

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.

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
53 services51 patients

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
175 US ROUTE 1
SCARBOROUGH, ME 04074
Internal Medicine
175 US ROUTE 1
SCARBOROUGH, ME 04074
Dietitian, Registered
175 US ROUTE 1
SCARBOROUGH, ME 04074
Internal Medicine (Endocrinology, Diabetes & Metabolism)
175 US ROUTE 1
SCARBOROUGH, ME 04074
Dietitian, Registered
175 US ROUTE 1
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
175 US ROUTE 1
SCARBOROUGH, ME 04074
Nurse Practitioner (Acute Care)
175 US ROUTE 1
SCARBOROUGH, ME 04074
Dietitian, Registered
175 US ROUTE 1
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 Daniel Oppenheim's NPI number?

The NPI number for Daniel Oppenheim is 1659300515. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Daniel Oppenheim located?

Daniel Oppenheim practices at 175 Us Route 1, Scarborough, ME 04074. The listed phone number is (207) 885-7700.

What is Daniel Oppenheim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Daniel Oppenheim enrolled in Medicare?

Yes. Daniel Oppenheim 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 Daniel Oppenheim accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Daniel Oppenheim 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.

When was this NPI record last updated?

The NPPES record for Daniel Oppenheim was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.