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LARA SHAHAR ILYAS M.D.
NPI 1902241425
Family Medicine in Winthrop, ME

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
16 COMMERCE PLZ, WINTHROP, ME 04364(207) 624-3800(207) 624-3845 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2021, Apr 19, 2021, Oct 31, 2016 (3 updates tracked since 2016).

About Lara Shahar Ilyas M.d. NPPES

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

LARA SHAHAR ILYAS M.D. (NPI 1902241425) is an individual family medicine provider in Winthrop, Maine, licensed in Maine (MD22023) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Temple University School Of Medicine (2013).

NPPES Registry Identity

NPI1902241425
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLARA SHAHAR ILYASCredential: M.D.
Location Address16 COMMERCE PLZWinthrop, ME 04364-1498
Mailing Address16 Commerce PlzWinthrop, ME 04364-1498 · (207) 624-3800 · Fax (207) 624-3845
Phone(207) 624-3800
Fax(207) 624-3845
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2013
Enumeration DateMay 10, 2013
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1902241425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD22023
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16 COMMERCE PLZ, Winthrop, ME 04364
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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

Lara Shahar Ilyas 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 ID1153559828
PECOS Enrollment IDI20180131001051
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 4

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 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.
143 services77 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.
34 services34 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.
31 services23 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.
28 services24 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

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 3

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

ANTONINA PLANSON
Nurse Practitioner (Family)
16 COMMERCE PLZ
WINTHROP, ME 04364
Kennebec County (207) 624-3800
MR. RICHARD J. LARRABEE
Counselor (Mental Health)
16 COMMERCE PLZ
WINTHROP, ME 04364
Kennebec County (207) 377-2111
WILLIAM C STINSON PT, DPT
Physical Therapist
16 COMMERCE PLZ
WINTHROP, ME 04364
Kennebec County (207) 377-1580

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 Lara Ilyas's NPI number?

The NPI number for Lara Ilyas is 1902241425. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Lara Ilyas located?

Lara Ilyas practices at 16 Commerce Plz, Winthrop, ME 04364. The listed phone number is (207) 624-3800.

What is Lara Ilyas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lara Ilyas enrolled in Medicare?

Yes. Lara Ilyas 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.

Is Lara Ilyas affiliated with any hospitals?

According to CMS data, Lara Ilyas is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Lara Ilyas was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.