CAROL J MANSFIELD MD
NPI 1831165422
Pediatrics in Winthrop, ME

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
149 MAIN ST, STE 1A, WINTHROP, ME 04364(207) 377-2114(207) 377-6112 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol J Mansfield Md NPPES

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

CAROL J MANSFIELD MD (NPI 1831165422) is an individual pediatrics provider in Winthrop, Maine, licensed in Maine (014349) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1986).

NPPES Registry Identity

NPI1831165422
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROL J MANSFIELDCredential: MD
Location Address149 MAIN ST, STE 1AWinthrop, ME 04364-1462
Mailing Address149 Main St, Ste 1aWinthrop, ME 04364-1486 · (207) 377-2114 · Fax (207) 377-6112
Fax(207) 377-6112
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1986
Enumeration DateFebruary 24, 2006
Last NPPES UpdateOctober 16, 2012
NPI 1831165422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in ME · 014349
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
149 MAIN ST, Winthrop, ME 04364

Other Identifiers 3

Medicaid231140099ME
Medicare PIN000480301ME
Medicare UPINE62825ME

Accepted 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

Carol J Mansfield 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 ID3274570460
PECOS Enrollment IDI20080211000365
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04364 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
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
149 MAIN ST, WINTHROP FAMILY PRACTICE, SUITE 2A
WINTHROP, ME 04364
Pediatrics
149 MAIN ST, SUITE 1A
WINTHROP, ME 04364
Nurse Practitioner (Family)
149 MAIN ST, SUITE 2A
WINTHROP, ME 04364
Family Medicine
149 MAIN ST, STE 2A
WINTHROP, ME 04364
Family Medicine
149 MAIN ST, STE 2A
WINTHROP, ME 04364
Nurse Practitioner (Family)
149 MAIN ST, SUITE 2A
WINTHROP, ME 04364
Family Medicine
149 MAIN ST, SUITE 2A
WINTHROP, ME 04364
Pediatrics
149 MAIN ST, WINTHROP PEDIATRICS & ADOLESCENT MEDINDINE, STE 1A
WINTHROP, ME 04364

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 Carol Mansfield's NPI number?

The NPI number for Carol Mansfield is 1831165422. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Carol Mansfield located?

Carol Mansfield practices at 149 Main St Ste 1A, Winthrop, ME 04364. The listed phone number is (207) 377-2114.

What is Carol Mansfield's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carol Mansfield enrolled in Medicare?

Yes. Carol Mansfield 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 Carol Mansfield accept?

Health plans from Anthem Blue Cross and Blue Shield list Carol Mansfield 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.

When was this NPI record last updated?

The NPPES record for Carol Mansfield was last updated on October 16, 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.