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JEFFREY C BEDROSIAN MD
NPI 1821252974
Otolaryngology in Portland, ME

Active since July 17, 2008PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1250 FOREST AVE, PORTLAND, ME 04103(207) 797-5753(207) 797-9571 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey C Bedrosian Md NPPES

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

JEFFREY C BEDROSIAN MD (NPI 1821252974) is an individual otolaryngology provider in Portland, Maine, licensed in Maine (MD19186) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1821252974
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJEFFREY C BEDROSIANCredential: MD
Location Address1250 FOREST AVEPortland, ME 04103
Mailing Address301c Us Route OneScarborough, ME 04074 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 797-5753
Fax(207) 797-9571
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 17, 2008
Last NPPES UpdateNovember 20, 2012
✔ NPI 1821252974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in ME · MD19186✔ Licensed in PA · 188377
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1250 FOREST AVE, Portland, ME 04103
Open in Google Maps ↗

Other Identifiers 3

Medicare PINP01088718ME
Medicare PIN002744301ME
Medicare PIN002744302ME

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

Jeffrey C Bedrosian 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 ID9830345636
PECOS Enrollment IDI20161205000668, I20170410000990
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

4

Medicare enrollment records show Jeffrey Bedrosian reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
310 mi
Internal Medicine
125 SMITHFIELD LN
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1952662272 (272) 212-3872
St. Luke's Warren Physician Group, PC
313 mi
Podiatrist
315 STATE ROUTE 31 S
Washington, NJ 07882
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
NPI 1194415414 (908) 847-2621
Specialty Physician Associates, LLC
336 mi
Otolaryngology
3445 HIGH POINT BLVD., SUITE 400
Bethlehem, PA 18017
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 11 clinicians in this Medicare group
NPI 1487960639 (610) 866-5555
Star Community Health, Inc
336 mi
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
NPI 1033686159 (484) 526-4700

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 12

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 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.
270 services198 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
174 services113 patients
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.
121 services102 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.
107 services107 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
85 services85 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
83 services64 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
83%1,803 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%489 patients5/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%1,185 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%879 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 74% · 492 patients
Patients tobacco: 64% · 492 patients
8%53 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
78%74 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 340 patients
0%340 patients5/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
91%53 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DANIEL MARK MERSON
Internal Medicine
1250 FOREST AVE
PORTLAND, ME 04103
Cumberland County (207) 878-5042
DOUGLAS OAKFORD
Counselor (Addiction (Substance Use Disorder))
1250 FOREST AVE
PORTLAND, ME 04103
Cumberland County (207) 618-9611
JAMES E SLEEK CC/A
Audiologist
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Cumberland County (207) 797-5753
ROSALIE GENOVA, LCPC, CCS
Clinic/Center (Adult Mental Health)
1250 FOREST AVE, PORTLAND WELLNESS COOPERATIVE, UNIT 14, SUITE 7
PORTLAND, ME 04103
Cumberland County (207) 200-3789
BISHOP HEALTH
Counselor (Mental Health)
1250 FOREST AVE, SUITE 201
PORTLAND, ME 04103
Cumberland County (207) 910-6580
MS. SHARON LYNN SMITH PA
Physician Assistant (Surgical)
1250 FOREST AVE
PORTLAND, ME 04103
Cumberland County (207) 878-3177
CHRISTOPHER B MURRY D.O
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Cumberland County (207) 797-5753
CARRI NIX KIVELA M.S., N.P.-C.
Nurse Practitioner (Family)
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Cumberland County (207) 797-5753

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 Jeffrey Bedrosian's NPI number?

The NPI number for Jeffrey Bedrosian is 1821252974. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Jeffrey Bedrosian located?

Jeffrey Bedrosian practices at 1250 Forest Ave, Portland, ME 04103. The listed phone number is (207) 797-5753.

What is Jeffrey Bedrosian's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Bedrosian enrolled in Medicare?

Yes. Jeffrey Bedrosian 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 Jeffrey Bedrosian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Bedrosian reassigns Medicare benefits to 4 organizations: St. Luke's Physician Group, Inc. (East Stroudsburg, PA), St. Luke's Warren Physician Group, PC (Washington, NJ), Specialty Physician Associates, LLC (Bethlehem, PA) and Star Community Health, Inc (Bethlehem, PA). 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 Jeffrey Bedrosian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffrey Bedrosian affiliated with any hospitals?

According to CMS data, Jeffrey Bedrosian is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Jeffrey Bedrosian was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.