DR. MARK BRAUN MD
NPI 1851327936
Internal Medicine - Geriatric Medicine in Scarborough, ME

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
306 US ROUTE 1 STE C1, SCARBOROUGH, ME 04074(207) 883-0888(207) 883-0838 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Dr. Mark Braun Md NPPES

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

DR. MARK BRAUN MD (NPI 1851327936) is an individual geriatric medicine provider in Scarborough, Maine, licensed in Maine (014176) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of University Of Minnesota Medical School (1984).

NPPES Registry Identity

NPI1851327936
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. MARK BRAUNCredential: MD
Location Address306 US ROUTE 1 STE C1Scarborough, ME 04074-7640
Mailing Address306 Us Route 1 Ste C1Scarborough, ME 04074-7640 · (207) 883-0888 · Fax (207) 883-0838
Fax(207) 883-0838
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1984
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1851327936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in ME · 014176
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

306 US ROUTE 1 STE C1, Scarborough, ME 04074

Other Identifiers 1

Medicaid330400099ME

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

Dr. Mark Braun 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 ID4880624824
PECOS Enrollment IDI20050818000735
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.

Areas of Expertise CMS Part B claims 8

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
357 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
349 services123 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.
113 services113 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services12 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.
68 services47 patients
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.
29 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
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

Reported Quality Measures

Breast Cancer Screening
80%75 patients4/55-star benchmark: 93%
Cervical Cancer Screening
83%29 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
84%226 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
73%171 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
100%20 patients
Diabetes: Eye Exam
70%43 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
5%43 patients5/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
100%319 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%426 patients5/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims40 services$5.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$75.87 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.53 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$189.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Braun's NPI number?

The NPI number for Mark Braun is 1851327936. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Mark Braun located?

Mark Braun practices at 306 Us Route 1 Ste C1, Scarborough, ME 04074. The listed phone number is (207) 883-0888.

What is Mark Braun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Mark Braun enrolled in Medicare?

Yes. Mark Braun 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 Mark Braun accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark Braun 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 Mark Braun affiliated with any hospitals?

According to CMS data, Mark Braun is affiliated with Northern Light Health, Maine Medical Center and Mid Coast Hospital.

When was this NPI record last updated?

The NPPES record for Mark Braun was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.