TRISHA A. GUSHUE DO
NPI 1942289657
Family Medicine in Bridgton, ME

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
79.37/100
CMS Quality Rating
25 HOSPITAL DR, BRIDGTON, ME 04009(207) 524-3501(207) 647-4000 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Trisha A. Gushue Do NPPES

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

TRISHA A. GUSHUE DO (NPI 1942289657) is an individual family medicine provider in Bridgton, Maine, licensed in Maine (1534) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (1994).

NPPES Registry Identity

NPI1942289657
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRISHA A. GUSHUECredential: DO
Location Address25 HOSPITAL DRBridgton, ME 04009-1167
Mailing Address180 Church Hill Rd Ste 1Leeds, ME 04263-3418 · (207) 524-3501 · Fax (207) 647-4000
Fax(207) 647-4000
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1994
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
✔ NPI 1942289657 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 · 1534
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.
25 HOSPITAL DR, Bridgton, ME 04009

Accepted 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

Trisha A. Gushue Do 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 ID5597709261
PECOS Enrollment IDI20050614000343
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

3

Medicare enrollment records show Trisha Gushue reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
180 CHURCH HILL RD, SUITE 1
Leeds, ME 04263
  • Reassigned Medicare billing, Maine enrollment
  • 13 clinicians in this Medicare group

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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
40 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04009 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
$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.

79.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.66
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
7 suppliers16 claims44 services$5.83 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims24 services$5.06 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$1.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
25 HOSPITAL DR
BRIDGTON, ME 04009
Family Medicine
25 HOSPITAL DR
BRIDGTON, ME 04009
Orthopaedic Surgery
25 HOSPITAL DR
BRIDGTON, ME 04009
Nurse Practitioner (Adult Health)
25 HOSPITAL DR
BRIDGTON, ME 04009
Physical Therapist
25 HOSPITAL DR
BRIDGTON, ME 04009
Pediatrics
25 HOSPITAL DR
BRIDGTON, ME 04009
Social Worker (Clinical)
25 HOSPITAL DR
BRIDGTON, ME 04009
Social Worker (Clinical)
25 HOSPITAL DR
BRIDGTON, ME 04009

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 Trisha Gushue's NPI number?

The NPI number for Trisha Gushue is 1942289657. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Trisha Gushue located?

Trisha Gushue practices at 25 Hospital Dr, Bridgton, ME 04009. The listed phone number is (207) 524-3501.

What is Trisha Gushue's specialty?

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

Is Trisha Gushue enrolled in Medicare?

Yes. Trisha Gushue 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 Trisha Gushue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trisha Gushue reassigns Medicare benefits to 3 organizations: Bridgton Hospital (Bridgton, ME), Central Maine Medical Center (Lewiston, ME) and Dfd Russell Medical Center Inc (Leeds, ME). 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 Trisha Gushue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trisha Gushue accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Trisha Gushue 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 Trisha Gushue affiliated with any hospitals?

According to CMS data, Trisha Gushue is affiliated with Central Maine Medical Center and Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Trisha Gushue was last updated on January 11, 2022. 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.