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DOUGLAS POLLARD M.D.
NPI 1710969803
Internal Medicine in York, ME

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
15 HOSPITAL DR, YORK, ME 03909(207) 351-2478(207) 351-2216 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2017, Dec 13, 2016 (2 updates tracked since 2016).

About Douglas Pollard M.d. NPPES

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

DOUGLAS POLLARD M.D. (NPI 1710969803) is an individual internal medicine provider in York, Maine, licensed in Massachusetts (70467) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Boston University School Of Medicine (1987).

NPPES Registry Identity

NPI1710969803
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS POLLARDCredential: M.D.
Location Address15 HOSPITAL DRYork, ME 03909-1011
Mailing Address2 Hospital Dr, Ste AYork, ME 03909-1011
Phone(207) 351-2478
Fax(207) 351-2216
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1987
Enumeration DateNovember 15, 2005
Last NPPES UpdateApril 11, 20172 updates tracked since enumeration
✔ NPI 1710969803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 70467
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15 HOSPITAL DR, York, ME 03909
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Other Identifiers 2

Medicaid3065774MA
Medicare UPINE45077MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Douglas Pollard 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 ID1153360961
PECOS Enrollment IDI20161228001279
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 7

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 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.
281 services190 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
204 services204 patients
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.
163 services126 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
42 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services14 patients

Hospital Affiliations CMS Care Compare 3

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03909 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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims33 services$5.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims15 services$0.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$16.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$87.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers31 claims31 services$194.56 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 20

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

MEGAN BURNS PHYSICAL THERAPIST
Physical Therapist
15 HOSPITAL DR
YORK, ME 03909
York County (207) 351-2478
HAILEY ELIZABETH BOULIA-MADDEN
Physician Assistant
15 HOSPITAL DR
YORK, ME 03909
York County (207) 363-4321
MRS. ERIN A GINGRAS PT
Physical Therapist
15 HOSPITAL DR
YORK, ME 03909
York County (207) 361-3888
KATHRYN BRODERICK
Speech-Language Pathologist
15 HOSPITAL DR
YORK, ME 03909
York County (207) 363-4321
MRS. PATRICIA LYNN GOING OTR/L
Occupational Therapist
15 HOSPITAL DR
YORK, ME 03909
York County (207) 363-4321
VERA IVANOVA NP
Nurse Practitioner
15 HOSPITAL DR
YORK, ME 03909
York County (207) 351-2478
MRS. STEPHANIE REBECCA GONSALVES PA-C
Physician Assistant
15 HOSPITAL DR
YORK, ME 03909
York County (207) 363-4321
JAMES SPRAGUE HUDDLESTON PT, MS, DPT
Physical Therapist
15 HOSPITAL DR
YORK, ME 03909
York County (207) 351-2260

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 Douglas Pollard's NPI number?

The NPI number for Douglas Pollard is 1710969803. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Douglas Pollard located?

Douglas Pollard practices at 15 Hospital Dr, York, ME 03909. The listed phone number is (207) 351-2478.

What is Douglas Pollard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas Pollard enrolled in Medicare?

Yes. Douglas Pollard 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 Douglas Pollard accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Douglas Pollard 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 Douglas Pollard affiliated with any hospitals?

According to CMS data, Douglas Pollard is affiliated with Maine Medical Center, York Hospital and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Pollard was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.