FREDERICK CLAPP ROEDIGER M.D.
NPI 1659409977
Otolaryngology in Portland, ME

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103(207) 797-5753(207) 797-9571 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frederick Clapp Roediger M.d. NPPES

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

FREDERICK CLAPP ROEDIGER M.D. (NPI 1659409977) is an individual otolaryngology provider in Portland, Maine, licensed in Maine (MD18047) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1659409977
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameFREDERICK CLAPP ROEDIGERCredential: M.D.
Location Address1250 FOREST AVE, SUITE 301Portland, ME 04103-1897
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 797-9571
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 28, 2007
Last NPPES UpdateApril 3, 2012
NPI 1659409977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in ME · MD18047
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1250 FOREST AVE, Portland, ME 04103

Other Identifiers 9

Other1044199ME · Aetna
Medicare PIN001257902ME
Medicare PIN001257903ME
OtherAA146929ME · Harvard Pilgrim
Medicare PINP00899888ME
OtherP00759644ME · Railroad Medicare Group Ptan
Other30209197ME · New Hampshire Medicaid
Medicaid433941099ME
Medicare PIN001257901ME

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

Frederick Clapp Roediger 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 ID2163568122
PECOS Enrollment IDI20091005000361
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
213 services135 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services60 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
49 services31 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
38 services32 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
19 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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
1250 FOREST AVE
PORTLAND, ME 04103
Counselor (Addiction (Substance Use Disorder))
1250 FOREST AVE
PORTLAND, ME 04103
Audiologist
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Clinic/Center (Adult Mental Health)
1250 FOREST AVE, PORTLAND WELLNESS COOPERATIVE, UNIT 14, SUITE 7
PORTLAND, ME 04103
Counselor (Mental Health)
1250 FOREST AVE, SUITE 201
PORTLAND, ME 04103
Physician Assistant (Surgical)
1250 FOREST AVE
PORTLAND, ME 04103
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Nurse Practitioner (Family)
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103

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 Frederick Roediger's NPI number?

The NPI number for Frederick Roediger is 1659409977. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Frederick Roediger located?

Frederick Roediger practices at 1250 Forest Ave Suite 301, Portland, ME 04103. The listed phone number is (207) 797-5753.

What is Frederick Roediger's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Frederick Roediger enrolled in Medicare?

Yes. Frederick Roediger 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 Frederick Roediger accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Frederick Roediger 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 Frederick Roediger affiliated with any hospitals?

According to CMS data, Frederick Roediger is affiliated with Maine Medical Center and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Frederick Roediger was last updated on April 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.