DR. JOHN LUKE PONTOLILLO M.D.
NPI 1790170926
Radiology - Diagnostic Radiology in Bangor, ME

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
489 STATE ST, BANGOR, ME 04401(207) 793-7000 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Luke Pontolillo M.d. NPPES

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

DR. JOHN LUKE PONTOLILLO M.D. (NPI 1790170926) is an individual diagnostic radiology provider in Bangor, Maine, licensed in Maine (MD24522) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1790170926
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOHN LUKE PONTOLILLOCredential: M.D.
Location Address489 STATE STBangor, ME 04401-6616
Mailing Address324 Gannett Dr Ste 200South Portland, ME 04106-3266 · (207) 482-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateMay 7, 2021
NPPES CertifiedApril 30, 2021
NPI 1790170926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in ME · MD24522
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

489 STATE ST, Bangor, ME 04401

Secondary Practice Location 1

Location 1701 Park Ave, HCMC Dept. of RadiologyMinneapolis, MN 55415-1623 · Phone (612) 347-2121

Other Identifiers 1

Medicaid1790170926ME

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

Dr. John Luke Pontolillo 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 ID5193020196
PECOS Enrollment IDI20210511002307
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 52

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
544 services461 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
308 services299 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
171 services169 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
164 services159 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
91 services90 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
80 services80 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Northern Light Blue Hill Memorial Hospital

Critical Access Hospitals · Blue Hill, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201300
Location57 Water StreetBlue Hill, ME 04614 · Hancock County
Emergency services

Northern Light Mayo Hospital

Critical Access Hospitals · Dover Foxcroft, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201309
Location897 West Main StreetDover Foxcroft, ME 04426 · Piscataquis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Physician Assistant
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Hospitalist
489 STATE ST
BANGOR, ME 04401

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 John Pontolillo's NPI number?

The NPI number for John Pontolillo is 1790170926. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is John Pontolillo located?

John Pontolillo practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 793-7000.

What is John Pontolillo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Pontolillo enrolled in Medicare?

Yes. John Pontolillo 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 John Pontolillo affiliated with any hospitals?

According to CMS data, John Pontolillo is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center, Northern Light Maine Coast Hospital, Northern Light Blue Hill Memorial Hospital and Northern Light Mayo Hospital.

When was this NPI record last updated?

The NPPES record for John Pontolillo was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.