JOSE A VENTURA MD, FHM, FAAFP
NPI 1932337763
Family Medicine in Topsham, ME

Q: What is Jose Ventura's NPI number?

The NPI number for Jose Ventura is 1932337763. It was assigned to this individual provider in the NPPES registry on July 1, 2009. The provider is also known as Jose A Ventura Lopex MD, Cmd, Faafp, Sfhm.

Q: What is Jose Ventura's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Ventura was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment

4 UNION PARK RD # 8, TOPSHAM, ME 04086(207) 200-5907(207) 544-5157 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Jun 11, 2019, May 9, 2019 (3 updates tracked since 2019).

On this page

About Jose A Ventura Md, Fhm, Faafp NPPES

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

JOSE A VENTURA MD, FHM, FAAFP (NPI 1932337763) is an individual family medicine provider in Topsham, Maine, licensed in Maine (MD19207) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Morehouse School Of Medicine (2012).

NPPES Registry Identity

NPI1932337763

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE A VENTURACredential: MD, FHM, FAAFP

Location Address4 UNION PARK RD # 8Topsham, ME 04086-1711

Mailing Address47 Beechwood DrTopsham, ME 04086-5524

Phone(207) 200-5907

Fax(207) 544-5157

Sole ProprietorYes

Medical School CMSMorehouse School Of MedicineGraduated 2012

Enumeration DateJuly 1, 2009

Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1932337763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · MD19207

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.

4 UNION PARK RD # 8, Topsham, ME 04086

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Other Names 1

Former Name (1)Jose A Ventura Lopex Md, Cmd, Faafp, Sfhm

Other Identifiers 1

Medicaid0000ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.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

Jose A Ventura Md, Fhm, Faafp 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 ID6002068707

PECOS Enrollment IDI20121203000500, I20200415000115, I20200605000907, I20200804000577

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 Reassignments

Medicare enrollment records show Jose Ventura reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ventura Medical Services LLC

0.1 mi

Family Medicine

4 UNION PARK RD # 8
Topsham, ME 04086

Reassigned Medicare billing, Maine, New Hampshire, Texas and Vermont enrollments
17 clinicians in this Medicare group

NPI 1639883911 (207) 605-8606

Impact Health Me, LLC

15 mi

Nurse Practitioner

370 PORTLAND ST
Yarmouth, ME 04096

Reassigned Medicare billing, Maine enrollment
33 clinicians in this Medicare group

NPI 1518432574 (516) 705-4805

Impact Health Wound Care PLLC

26 mi

Family Medicine

323 STATE ST STE 5
Augusta, ME 04330

Reassigned Medicare billing, Connecticut, Maine and New Hampshire enrollments

NPI 1093502742 (404) 319-9485

Mainegeneral Medical Center

31 mi

General Acute Care Hospital

35 MEDICAL CENTER PARKWAY
Augusta, ME 04330

Reassigned Medicare billing, Maine enrollment
978 clinicians in this Medicare group

NPI 1083949184 (207) 872-4454

Post Acute Specialists Of Vermont Plc

108 mi

Family Medicine

601 RED VILLAGE RD
Lyndonville, VT 05851

Reassigned Medicare billing, Vermont enrollment
64 clinicians in this Medicare group

NPI 1639700719 (800) 411-6768

Down East Community Hospital

134 mi

General Acute Care Hospital

RR 1 BOX 11
Machias, ME 04654

Reassigned Medicare billing, Maine enrollment
120 clinicians in this Medicare group

NPI 1689670242 (207) 255-3356

Springfield Hospital

134 mi

Critical Access Hospital

25 RIDGEWOOD ROAD
Springfield, VT 05156

Reassigned Medicare billing, Vermont enrollment
153 clinicians in this Medicare group

NPI 1033225875 (802) 885-2151

Impact Health Aco PC

241 mi

Nurse Practitioner

240 INDIAN RIVER RD STE C7
Orange, CT 06477

Reassigned Medicare billing, Maine enrollment
19 clinicians in this Medicare group

NPI 1447177068 (203) 497-3861

Mi Post Acute Specialists PC

739 mi

Internal Medicine

707 ARMSTRONG RD
Lansing, MI 48911

Reassigned Medicare billing, Michigan enrollment
90 clinicians in this Medicare group

NPI 1013425479 (800) 411-6768

Pai Participant 1 LLC

743 mi

Geriatric Medicine

60 MARIETTA RD
Chillicothe, OH 45601

Reassigned Medicare billing, Kentucky enrollment
26 clinicians in this Medicare group

NPI 1093371312 (859) 291-4800

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 26

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

578 services98 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

504 services179 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

437 services101 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

221 services104 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

165 services45 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

151 services113 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

131 services59 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

125 services125 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

123 services40 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

105 services105 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.

79 services79 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

79 services35 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

78 services78 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

66 services55 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

44 services30 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

30 services28 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

30 services30 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

27 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

20 services15 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

19 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012

A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.

18 services18 patients

Advance care planning, first 30 minutes 99497

17 services17 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

14 services13 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

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

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200063

Location6 Glen Cove DriveRockport, ME 04856 · Knox County

Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470012

Location100 Hospital DriveBennington, VT 05201 · Bennington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04086 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.

Other Providers at the Same Location NPPES 2

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

TRICIA E GARRETT MS

Physician Assistant

4 UNION PARK RD # 8
TOPSHAM, ME 04086

Sagadahoc County (207) 200-5907

VENTURA MEDICAL SERVICES LLC

Family Medicine

4 UNION PARK RD # 8
TOPSHAM, ME 04086

Sagadahoc County (207) 605-8606

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 Jose Ventura's NPI number?

The NPI number for Jose Ventura is 1932337763. It was assigned to this individual provider in the NPPES registry on July 1, 2009. The provider is also known as Jose A Ventura Lopex MD, Cmd, Faafp, Sfhm.

Where is Jose Ventura located?

Jose Ventura practices at 4 Union Park Rd # 8, Topsham, ME 04086. The listed phone number is (207) 200-5907.

What is Jose Ventura's specialty?

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

Is Jose Ventura enrolled in Medicare?

Yes. Jose Ventura 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 organizations bill Medicare for Jose Ventura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Ventura reassigns Medicare benefits to 12 organizations: Ventura Medical Services LLC (Topsham, ME), Impact Health Me, LLC (Yarmouth, ME), Impact Health Wound Care PLLC (Augusta, ME), Mainegeneral Medical Center (Augusta, ME), Post Acute Specialists Of Vermont Plc (Lyndonville, VT) and 7 more organizations, listed in the Medicare section above. Each 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 Jose Ventura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Ventura accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare, Priority Health and WellPoint and 1 other insurer list Jose Ventura 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 Jose Ventura affiliated with any hospitals?

According to CMS data, Jose Ventura is affiliated with Maine Medical Center, Mid Coast Hospital, Maine General Medical Center, Penobscot Bay Medical Center and Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Ventura was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.