MARC CALABRESE M.D.
NPI 1942614979
Urology in South Portland, ME

Q: What is Marc Calabrese's NPI number?

The NPI number for Marc Calabrese is 1942614979. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Marc Calabrese's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Calabrese was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 18, 2014PECOS Enrolled

21 DONALD B DEAN DR STE 1, SOUTH PORTLAND, ME 04106(207) 518-6600(207) 541-7445 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Marc Calabrese M.d. NPPES

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

MARC CALABRESE M.D. (NPI 1942614979) is an individual urology provider in South Portland, Maine, licensed in Maine (MD23704) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1942614979

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMARC CALABRESECredential: M.D.

Location Address21 DONALD B DEAN DR STE 1South Portland, ME 04106-3234

Mailing Address21 Donald B Dean Dr Ste 1South Portland, ME 04106-3234 · (207) 518-6600 · Fax (207) 541-7445

Phone(207) 518-6600

Fax(207) 541-7445

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 18, 2014

Last NPPES UpdateJuly 8, 2020

NPPES CertifiedJuly 8, 2020

✔ NPI 1942614979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in ME · MD23704

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 259031 (MA)

21 DONALD B DEAN DR STE 1, South Portland, ME 04106

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Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-0001 · Phone (781) 744-8585 · Fax (781) 744-3646

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Calabrese M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941623151

PECOS Enrollment IDI20200707001234

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 Reassignment

Medicare enrollment records show Marc Calabrese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fore River Urology LLC

Same address

Urology

21 DONALD B DEAN DR, SUITE 1
South Portland, ME 04106

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

NPI 1003248436 (207) 776-2411

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 19

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.

Urinalysis for bacteria 81007

Urinalysis for bacteria is a test that checks your urine for the presence of bacteria. The test involves collecting a urine sample in a sterile container. The sample is then examined in a lab to identify any bacteria. This helps in diagnosing infections in the urinary system.

246 services170 patients

Ketone bodies analysis, quantitative 82010

Ketone bodies analysis, quantitative, is a blood test that measures the level of ketones in your body. High levels can indicate diabetes, starvation, or other conditions. This test helps doctors monitor your body's energy use and can guide treatment plans.

246 services170 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

246 services170 patients

Bilirubin level, total 82247

A total bilirubin level test is a blood test that helps check how well your liver is functioning. It measures bilirubin, a yellow substance your body creates when it breaks down red blood cells. High levels may indicate a problem with your liver or bile duct.

246 services170 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

246 services170 patients

Glucose (sugar) level on body fluid 82945

The glucose level in body fluid test measures the amount of sugar in your body's fluids. This test is crucial in managing conditions like diabetes. High or low levels could indicate a health issue that needs attention.

246 services170 patients

Urine hemoglobin level 83069

The urine hemoglobin level test checks for the presence of hemoglobin, a protein in your red blood cells, in your urine. This test helps identify conditions affecting your blood cells or kidneys. It's non-invasive and involves a routine urine sample.

246 services170 patients

Body fluid ph level 83986

A body fluid pH level test measures the acidity or alkalinity of your body fluids, such as blood or urine. It's crucial for maintaining good health as it can affect your body's ability to carry out vital functions. Imbalances might indicate a health issue.

246 services170 patients

Total protein level, urine 84156

The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.

246 services170 patients

Chemical analysis using spectrophotometry (light) 84311

Spectrophotometry is a scientific method used to measure how much a chemical substance absorbs light. This helps in identifying and determining the concentration of that substance in a sample. It's non-invasive, accurate, and used in various medical tests.

246 services170 patients

Urobilinogen (metabolism substance) level, urine 84580

The Urobilinogen Level Urine test measures the amount of urobilinogen in your urine. Urobilinogen is a substance that your body produces when it breaks down red blood cells. High or low levels could indicate issues with your liver or red blood cells.

246 services170 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.

127 services95 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

110 services94 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.

103 services78 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.

71 services71 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

51 services37 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

34 services22 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.

27 services26 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

22 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

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

Mount Desert Island Hospital

Critical Access Hospitals · Bar Harbor, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201304

Location10 Wayman Lane, PO Box 8Bar Harbor, ME 04609 · Hancock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

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.

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.

FORE RIVER UROLOGY LLC

Non-Pharmacy Dispensing Site

21 DONALD B DEAN DR STE 1
SOUTH PORTLAND, ME 04106

Cumberland County (207) 518-6600

CHRISTOPHER W LEBEIS MD

Urology

21 DONALD B DEAN DR STE 1
SOUTH PORTLAND, ME 04106

Cumberland County (207) 518-6600

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 Marc Calabrese's NPI number?

The NPI number for Marc Calabrese is 1942614979. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Marc Calabrese located?

Marc Calabrese practices at 21 Donald B Dean Dr Ste 1, South Portland, ME 04106. The listed phone number is (207) 518-6600.

What is Marc Calabrese's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Marc Calabrese enrolled in Medicare?

Yes. Marc Calabrese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marc Calabrese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Calabrese reassigns Medicare benefits to Fore River Urology LLC (South Portland, ME). The 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 Marc Calabrese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Calabrese accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Marc Calabrese 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 Marc Calabrese affiliated with any hospitals?

According to CMS data, Marc Calabrese is affiliated with Northern Light Health, Maine Medical Center and Mount Desert Island Hospital.

When was this NPI record last updated?

The NPPES record for Marc Calabrese was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.