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ADAM J RANA MD
NPI 1922273143
Orthopaedic Surgery in Falmouth, ME

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
5 BUCKNAM ROAD, SUITE 1D, FALMOUTH, ME 04105(207) 781-1551(207) 781-1552 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Adam J Rana Md NPPES

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

ADAM J RANA MD (NPI 1922273143) is an individual orthopaedic surgery provider in Falmouth, Maine, licensed in Maine (MD19258) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1922273143
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameADAM J RANACredential: MD
Location Address5 BUCKNAM ROAD, SUITE 1DFalmouth, ME 04105
Mailing Address301c Us Route OneScarborough, ME 04074 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 781-1551
Fax(207) 781-1552
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 29, 2008
Last NPPES UpdateJanuary 24, 2013
✔ NPI 1922273143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in ME · MD19258
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5 BUCKNAM ROAD, Falmouth, ME 04105
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN002744101ME
Medicare PINP01112049ME
Medicare PIN002744102ME
Medicare PINP01088720ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Adam J Rana 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 ID9436305224
PECOS Enrollment IDI20120810000032
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 7

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
98 services80 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.
84 services84 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
56 services53 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
55 services54 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.
25 services25 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

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

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

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04105 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
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.

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

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
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 3

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

JONATHAN T FANBURG MD
Pediatrics (Adolescent Medicine)
5 BUCKNAM ROAD, SUITE 1D
FALMOUTH, ME 04105
Cumberland County (207) 781-1775
SELECT PHYSICAL THERAPY HOLDINGS INC
Clinic/Center (Rehabilitation)
5 BUCKNAM ROAD, STE 1F
FALMOUTH, ME 04105
Cumberland County (207) 781-1551
GREGORY ALAN SAWYER MD
Orthopaedic Surgery
5 BUCKNAM ROAD
FALMOUTH, ME 04105
Cumberland County (207) 781-1551

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 Adam Rana's NPI number?

The NPI number for Adam Rana is 1922273143. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Adam Rana located?

Adam Rana practices at 5 Bucknam Road Suite 1D, Falmouth, ME 04105. The listed phone number is (207) 781-1551.

What is Adam Rana's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Adam Rana enrolled in Medicare?

Yes. Adam Rana 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 Adam Rana accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Adam Rana 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 Adam Rana affiliated with any hospitals?

According to CMS data, Adam Rana is affiliated with Maine Medical Center, Maine General Medical Center and Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Adam Rana was last updated on January 24, 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.