JOAN KHEDER M.D.
NPI 1700016185
Internal Medicine - Gastroenterology in Augusta, ME

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330(207) 621-1150(207) 626-1045 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2019, May 24, 2018 (2 updates tracked since 2018).

About Joan Kheder M.d. NPPES

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

JOAN KHEDER M.D. (NPI 1700016185) is an individual gastroenterology provider in Augusta, Maine, licensed in Maine (MD22822) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1700016185
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOAN KHEDERCredential: M.D.
Location Address35 MEDICAL CENTER PKWYAugusta, ME 04330-8160
Mailing Address35 Medical Center PkwyAugusta, ME 04330-8160 · (207) 621-1150 · Fax (207) 626-1045
Fax(207) 626-1045
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 21, 2009
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
NPI 1700016185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in ME · MD22822 Licensed in MA · 251153
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 241023 (MA)
35 MEDICAL CENTER PKWY, Augusta, ME 04330

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

Joan Kheder 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 ID6406003243
PECOS Enrollment IDI20190731002639
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 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
88 services87 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
84 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services53 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
38 services38 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
26 services18 patients
Exam of common bile and/or pancreatic duct using a flexible endoscope 43273
This procedure, known as an ERCP, involves a flexible tube with a camera, called an endoscope, being gently passed down your throat to examine your common bile or pancreatic duct. It helps doctors diagnose and treat conditions affecting these areas.
25 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Family)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330

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 Joan Kheder's NPI number?

The NPI number for Joan Kheder is 1700016185. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Joan Kheder located?

Joan Kheder practices at 35 Medical Center Pkwy, Augusta, ME 04330. The listed phone number is (207) 621-1150.

What is Joan Kheder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Joan Kheder enrolled in Medicare?

Yes. Joan Kheder 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 Joan Kheder affiliated with any hospitals?

According to CMS data, Joan Kheder is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Joan Kheder was last updated on July 18, 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.