GRANT OAKLEY D.O.
NPI 1679927537
Internal Medicine - Nephrology in Portland, ME

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1600 CONGRESS ST STE B, PORTLAND, ME 04102(207) 774-5222 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2021, Jul 29, 2021 (2 updates tracked since 2021).

About Grant Oakley D.o. NPPES

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

GRANT OAKLEY D.O. (NPI 1679927537) is an individual nephrology provider in Portland, Maine, licensed in Maine (DO3180) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1679927537
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGRANT OAKLEYCredential: D.O.
Location Address1600 CONGRESS ST STE BPortland, ME 04102-2148
Mailing Address1600 Congress St Ste BPortland, ME 04102-2148 · (207) 774-5222
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1679927537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in ME · DO3180
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 218471 (NC)
1600 CONGRESS ST STE B, Portland, ME 04102

Secondary Practice Location 1

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-0111

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

Grant Oakley D.o. 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 ID7012208721
PECOS Enrollment IDI20210810001842
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 9

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.

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.
293 services41 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.
96 services36 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.
72 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services37 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
55 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services32 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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims5,940 services$3.94 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$18.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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

The NPI number for Grant Oakley is 1679927537. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Grant Oakley located?

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

What is Grant Oakley's specialty?

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

Is Grant Oakley enrolled in Medicare?

Yes. Grant Oakley 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 Grant Oakley accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Grant Oakley 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 Grant Oakley affiliated with any hospitals?

According to CMS data, Grant Oakley is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Grant Oakley was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.