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JAMES P THEBERGE M.D.
NPI 1881635001
Internal Medicine in Westbrook, ME

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
40 PARK RD, WESTBROOK, ME 04092(207) 857-8174 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James P Theberge M.d. NPPES

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

JAMES P THEBERGE M.D. (NPI 1881635001) is an individual internal medicine provider in Westbrook, Maine, licensed in Maine (016282) 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 Massachusetts Medical School (1986).

NPPES Registry Identity

NPI1881635001
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES P THEBERGECredential: M.D.
Location Address40 PARK RDWestbrook, ME 04092-3188
Mailing Address40 Park RdWestbrook, ME 04092-3188 · (207) 857-8174
Phone(207) 857-8174
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1986
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1881635001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · 016282
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
40 PARK RD, Westbrook, ME 04092
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Other Identifiers 2

Medicare UPINE16213ME
MedicaidME0110ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

James P Theberge M.d. 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 ID4587556055
PECOS Enrollment IDI20040731000248
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 Reassignment

Medicare enrollment records show James Theberge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Hospital
4.6 mi
General Acute Care Hospital
195 FORE RIVER PKWY, SUITE 300
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 clinicians in this Medicare group
NPI 1427313048 (207) 879-3601

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 3

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.
107 services94 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.
36 services36 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04092 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
$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.

Other Providers at the Same Location NPPES 14

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

KRISTINA PARISIEN M.D.
Family Medicine
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 857-8410
MARY LIBBY NP
Nurse Practitioner
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 857-8410
RONALD W ASHKENASY D.O..
Family Medicine
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 857-8174
NOEL J GENOVA PA-C
Physician Assistant (Medical)
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 879-3600
MRS. CANDICE JOAN SAWYER PA-C
Physician Assistant
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 857-8174
MR. PHILLIP MEEKS LCSW
Social Worker (Clinical)
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 857-8282
DR. ARLENE M. KELLMAN D.O.
Internal Medicine (Addiction Medicine)
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 857-8383
MR. RODDY A SHERER NP-C
Nurse Practitioner
40 PARK RD
WESTBROOK, ME 04092
Cumberland County (207) 857-8282

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 James Theberge's NPI number?

The NPI number for James Theberge is 1881635001. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is James Theberge located?

James Theberge practices at 40 Park Rd, Westbrook, ME 04092. The listed phone number is (207) 857-8174.

What is James Theberge's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Theberge enrolled in Medicare?

Yes. James Theberge 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 organization bills Medicare for James Theberge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Theberge reassigns Medicare benefits to Mercy Hospital (Portland, ME). The 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 James Theberge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Theberge accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list James Theberge 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 James Theberge affiliated with any hospitals?

According to CMS data, James Theberge is affiliated with Northern Light Health.

When was this NPI record last updated?

The NPPES record for James Theberge was last updated on February 1, 2013. 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.