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MICHAEL BRIAN HERSOM DMD
NPI 1952409880
Dentist - General Practice in Rockport, ME

Active since September 21, 2006PECOS Enrolled
1060 COMMERCIAL ST, GLEN COVE DENTAL ASSOCIATES, PA, ROCKPORT, ME 04856(207) 594-5500(207) 596-6349 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Brian Hersom Dmd NPPES

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

MICHAEL BRIAN HERSOM DMD (NPI 1952409880) is an individual general practice provider in Rockport, Maine, licensed in Maine (3440) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952409880
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL BRIAN HERSOMCredential: DMD
Location Address1060 COMMERCIAL ST, GLEN COVE DENTAL ASSOCIATES, PARockport, ME 04856-3801
Mailing Address1060 Commercial St, Glen Cove Dental Associates, PaRockport, ME 04856-3801 · (207) 594-5500 · Fax (207) 596-6349
Phone(207) 594-5500
Fax(207) 596-6349
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1952409880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · 3440
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1060 COMMERCIAL ST, Rockport, ME 04856
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Brian Hersom Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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.

Other Providers at the Same Location NPPES 13

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

MIDCOAST ENDODONTICS
Dentist (Endodontics)
1060 COMMERCIAL ST, SUITE 2
ROCKPORT, ME 04856
Knox County (207) 593-9345
DEBORAH W ENDL DMD
Dentist (General Practice)
1060 COMMERCIAL ST, GLEN COVE DENTAL ASSOCIATES, PA
ROCKPORT, ME 04856
Knox County (207) 594-5500
TRACY ANN CYR RDH
Dental Hygienist
1060 COMMERCIAL ST
ROCKPORT, ME 04856
Knox County (207) 594-5500
BENJAMIN LACY DMD
Dentist
1060 COMMERCIAL ST
ROCKPORT, ME 04856
Knox County (207) 594-5500
ABBY MAE BELLMORE RDH
Dental Hygienist
1060 COMMERCIAL ST
ROCKPORT, ME 04856
Knox County (207) 594-5500
AMY L CAMPBELL DMD
Dentist (General Practice)
1060 COMMERCIAL ST, GLEN COVE DENTAL ASSOCIATES, PA
ROCKPORT, ME 04856
Knox County (207) 594-5500
GLEN COVE DENTAL ASSOCIATES, P.A.
Dentist (General Practice)
1060 COMMERCIAL ST
ROCKPORT, ME 04856
Knox County (207) 596-6349
STEPHANIE VELLA RDH
Dental Hygienist
1060 COMMERCIAL ST
ROCKPORT, ME 04856
Knox County (207) 594-5500

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 Michael Hersom's NPI number?

The NPI number for Michael Hersom is 1952409880. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Michael Hersom located?

Michael Hersom practices at 1060 Commercial St Glen Cove Dental Associates, PA, Rockport, ME 04856. The listed phone number is (207) 594-5500.

What is Michael Hersom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Hersom enrolled in Medicare?

Yes. Michael Hersom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Hersom was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.