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CECILIA K TRYDESTAM MD
NPI 1811121684
Surgery in Lewiston, ME

Active since May 08, 2009PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
93 CAMPUS AVE I2 WING, LEWISTON, ME 04240(207) 777-8650(207) 777-8641 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2025, Jul 1, 2024, Mar 11, 2021 and 2 more (5 updates tracked since 2020).

About Cecilia K Trydestam Md NPPES

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

CECILIA K TRYDESTAM MD (NPI 1811121684) is an individual surgery provider in Lewiston, Maine, licensed in Maine (MD24297) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Cary Medical Center, and is a graduate of Temple University School Of Medicine (2009).

NPPES Registry Identity

NPI1811121684
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCECILIA K TRYDESTAMCredential: MD
Location Address93 CAMPUS AVE I2 WINGLewiston, ME 04240
Mailing Address770 Roosevelt Trail, Ste 8 #1015N Windham, ME 04062 · (207) 717-9550
Phone(207) 777-8650
Fax(207) 777-8641
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2009
Enumeration DateMay 8, 2009
Last NPPES UpdateMarch 24, 20255 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1811121684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ME · MD24297✔ Licensed in WA · MD60458584
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
93 CAMPUS AVE I2 WING, Lewiston, ME 04240
Open in Google Maps ↗

Other Identifiers 2

Medicaid1811121684WA
OtherP01625698WA · Rr Medicare Wvh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Harvard Pilgrim Health Care and more.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

Cecilia K Trydestam Md 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 ID7719113471
PECOS Enrollment IDI20201221002471, I20241209001176
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.

Hospital Affiliations CMS Care Compare 4

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

Cary Medical Center

Acute Care Hospitals · Caribou, ME
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number200031
Location163 Van Buren Rd, Suite 1Caribou, ME 04736 · Aroostook County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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

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 Cecilia Trydestam's NPI number?

The NPI number for Cecilia Trydestam is 1811121684. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Cecilia Trydestam located?

Cecilia Trydestam practices at 93 Campus Ave I2 Wing, Lewiston, ME 04240. The listed phone number is (207) 777-8650.

What is Cecilia Trydestam's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cecilia Trydestam enrolled in Medicare?

Yes. Cecilia Trydestam 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 Cecilia Trydestam accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Harvard Pilgrim Health Care and HealthPartners list Cecilia Trydestam 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 Cecilia Trydestam affiliated with any hospitals?

According to CMS data, Cecilia Trydestam is affiliated with Cary Medical Center, Penobscot Bay Medical Center, Waldo County General Hospital and Aspirus Rhinelander Hospital.

When was this NPI record last updated?

The NPPES record for Cecilia Trydestam was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.