GEMMA REDDIN
NPI 1942723465
Internal Medicine - Cardiovascular Disease in Scarborough, ME

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment
96 CAMPUS DR, SCARBOROUGH, ME 04074(207) 885-9905 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2024, Jan 30, 2020, Jul 18, 2017 (3 updates tracked since 2017).

About Gemma Reddin NPPES

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

GEMMA REDDIN (NPI 1942723465) is an individual cardiovascular disease provider in Scarborough, Maine, licensed in Maine (MD28233) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942723465
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameGEMMA REDDIN
Location Address96 CAMPUS DRScarborough, ME 04074-7163
Mailing Address96 Campus DrScarborough, ME 04074-7163 · (207) 885-9905
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 18, 2017
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1942723465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in ME · MD28233
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
96 CAMPUS DR, Scarborough, ME 04074

Other Identifiers 1

Other4090242DC · Drivers License

Accepted 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

Gemma Reddin 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 ID2264826916
PECOS Enrollment IDI20240910003745
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 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
109 services97 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
67 services66 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
22 services22 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.
21 services21 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.
19 services15 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
17 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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 20

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

Nurse Practitioner (Family)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Registered Nurse
96 CAMPUS DR
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Family Medicine
96 CAMPUS DR
SCARBOROUGH, ME 04074

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 Gemma Reddin's NPI number?

The NPI number for Gemma Reddin is 1942723465. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Gemma Reddin located?

Gemma Reddin practices at 96 Campus Dr, Scarborough, ME 04074. The listed phone number is (207) 885-9905.

What is Gemma Reddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gemma Reddin enrolled in Medicare?

Yes. Gemma Reddin 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 Gemma Reddin accept?

Health plans from Harvard Pilgrim Health Care list Gemma Reddin 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 Gemma Reddin affiliated with any hospitals?

According to CMS data, Gemma Reddin is affiliated with Maine Medical Center, Mid Coast Hospital, Stephens Memorial Hospital and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Gemma Reddin was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.