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DR. SHEILA MELANIE GERRY PINETTE DO
NPI 1801938220
Internal Medicine in Cape Elizabeth, ME

Active since February 13, 2007PECOS Enrolled
98.06/100
CMS Quality Rating
9 GRANITE RIDGE RD, CAPE ELIZABETH, ME 04107(207) 317-1843 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sheila Melanie Gerry Pinette Do NPPES

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

DR. SHEILA MELANIE GERRY PINETTE DO (NPI 1801938220) is an individual internal medicine provider in Cape Elizabeth, Maine, licensed in Maine (1785) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801938220
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHEILA MELANIE GERRY PINETTECredential: DO
Location Address9 GRANITE RIDGE RDCape Elizabeth, ME 04107-1640
Mailing Address9 Granite Ridge RdCape Elizabeth, ME 04107-1640 · (207) 317-1843
Phone(207) 317-1843
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1801938220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · 1785
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.
9 GRANITE RIDGE RD, Cape Elizabeth, ME 04107
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Other Names 1

Professional Name (2)Dr. Sheila Melanie Gerry Pinette Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sheila Melanie Gerry Pinette Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sheila Gerry Pinette reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Partners
1.1 mi
Internal Medicine
155 SPURWINK AVE
Cape Elizabeth, ME 04107
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1467477349 (Maine), NPI 1144245028 (Maine)
  • 203 clinicians in this Medicare group
NPI 1598780447 (207) 767-2174
Webber Hospital Association
16 mi
Pediatrics
473 ALFRED ST
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
NPI 1942403266 (207) 283-9031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
42 services42 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04107 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

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 Sheila Gerry Pinette's NPI number?

The NPI number for Sheila Gerry Pinette is 1801938220. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as Dr. Sheila Melanie Gerry Pinette Do.

Where is Sheila Gerry Pinette located?

Sheila Gerry Pinette practices at 9 Granite Ridge Rd, Cape Elizabeth, ME 04107. The listed phone number is (207) 317-1843.

What is Sheila Gerry Pinette's specialty?

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

Is Sheila Gerry Pinette enrolled in Medicare?

Yes. Sheila Gerry Pinette is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sheila Gerry Pinette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Gerry Pinette reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Cape Elizabeth, ME) and Webber Hospital Association (Biddeford, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheila Gerry Pinette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sheila Gerry Pinette was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.