DR. ANTONIOS TSISMENAKIS MD
NPI 1942509161
Orthopaedic Surgery in Bangor, ME

Q: What is Antonios Tsismenakis's NPI number?

The NPI number for Antonios Tsismenakis is 1942509161. It was assigned to this individual provider in the NPPES registry on March 28, 2011. The provider is also known as Dr. Tony Tsismenakis M.D..

Q: What is Antonios Tsismenakis's specialty?

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

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment

71.79/100

CMS Quality Rating

78 RIDGEWOOD DR, BANGOR, ME 04401(207) 307-8910(207) 307-8940 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2021, Apr 19, 2018 (2 updates tracked since 2018).

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About Dr. Antonios Tsismenakis Md NPPES

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

DR. ANTONIOS TSISMENAKIS MD (NPI 1942509161) is an individual orthopaedic surgery provider in Bangor, Maine, licensed in Maine (MD21648) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Boston University School Of Medicine (2011).

NPPES Registry Identity

NPI1942509161

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. ANTONIOS TSISMENAKISCredential: MD

Location Address78 RIDGEWOOD DRBangor, ME 04401-2652

Mailing Address78 Ridgewood DrBangor, ME 04401-2652 · (207) 947-8381

Phone(207) 307-8910

Fax(207) 307-8940

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2011

Enumeration DateMarch 28, 2011

Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration

NPPES CertifiedJuly 16, 2021

✔ NPI 1942509161 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 · MD21648

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.

78 RIDGEWOOD DR, Bangor, ME 04401

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Other Names 1

Other Name (5)Dr. Tony Tsismenakis M.d.

Accepted Insurance

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

Dr. Antonios Tsismenakis 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 ID3072745439

PECOS Enrollment IDI20170913001190

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 14

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.

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

212 services118 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

187 services101 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

155 services141 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

124 services117 patients

X-ray of joints, multiple 77077

An X-ray of multiple joints is a non-invasive imaging test that helps visualize the condition of your joints. This procedure uses a small amount of radiation to produce images of bones and joints, assisting in diagnosing conditions like arthritis or injury.

91 services43 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.

66 services61 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.

59 services56 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.

45 services45 patients

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.

44 services38 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

37 services14 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.

32 services30 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

23 services20 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

21 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200001

Location360 BroadwayBangor, ME 04401 · Penobscot County

Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200050

Location50 Union StreetEllsworth, ME 04605 · Hancock County

Emergency services Birthing friendly

Northern Light Blue Hill Memorial Hospital

Critical Access Hospitals · Blue Hill, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201300

Location57 Water StreetBlue Hill, ME 04614 · Hancock County

Emergency services

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201313

Location447 North Main StreetPittsfield, ME 04967 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

71.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

69.45

Promoting Interoperability

Improvement Activities

Cost

44.87

Reported Quality Measures

Breast Cancer Screening

0%365 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%144 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

47%174 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

94%1,444 patients4/55-star benchmark: 100%

e-Prescribing

98%176 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%679 patients1/55-star benchmark: 100%

Functional Status Assessment for Total Hip Replacement

10%118 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

11%1,003 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%1,004 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

6%1,376 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 568 patients

0%568 patients

Provide Patients Electronic Access to Their Health Information

40%654 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85%20 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 711 patients

Patients totalRate: 0% · 711 patients

0%711 patients5/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers27 claims27 services$60.99 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.

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