CECILIA K TRYDESTAM MD
NPI 1811121684
Surgery in Lewiston, ME
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 maintains a secondary practice location in Belfast.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Cecilia Trydestam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
Norway, ME 04268
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1841397932 (Maine)
- 3,140 clinicians in this Medicare group
Falmouth, ME 04105
- Reassigned Medicare billing, Maine enrollment
- 264 clinicians in this Medicare group
Presque Isle, ME 04769
- Reassigned Medicare billing, Maine enrollment
- 91 clinicians in this Medicare group
Crandon, WI 54520
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Aspirus Riverview Hospital & Clinics Inc
- 397 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cary Medical Center
Acute Care Hospitals · Caribou, MEAspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIPhysician 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.
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.
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.
Which organizations bill Medicare for Cecilia Trydestam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Trydestam reassigns Medicare benefits to 6 organizations: St. Mary's Regional Medical Center (Lewiston, ME), Mainehealth (Norway, ME), Maine Medical Partners (Falmouth, ME), Pines Health Services (Presque Isle, ME), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Crandon, WI) and 1 more organization, listed in the Medicare section above. 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 Cecilia Trydestam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cecilia Trydestam accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan 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 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 19 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.
# Cecilia K Trydestam, MD · NPI 1811121684
Surgery physician in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since May 8, 2009.
## Identity
- **NPI:** 1811121684 (Entity type: Individual)
- **Enumerated:** May 8, 2009
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD24297 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 93 CAMPUS AVE I2 WING, Lewiston, ME 04240
- **Phone:** (207) 777-8650 · **Fax:** (207) 777-8641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME); Mainehealth (NPI 1447730247, Norway, ME); Maine Medical Partners (NPI 1891083119, Falmouth, ME); Pines Health Services (NPI 1518283126, Presque Isle, ME); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1699068692, Crandon, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** March 24, 2025
- **Other identifiers:** Medicaid 1811121684 (WA); Other P01625698 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1811121684) · Data from the CMS NPPES public registry.