KENNETH STUART OROURKE MD
NPI 1972588309
Specialist in Portland, ME

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
95.36/100
CMS Quality Rating
RHEUMATOLOGY ASSOCIATES, PA, 51 SEWALL STREET, PORTLAND, ME 04102(207) 774-5761(207) 874-7478 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Stuart Orourke Md NPPES

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

KENNETH STUART OROURKE MD (NPI 1972588309) is an individual specialist in Portland, Maine, licensed in Maine (MD21645) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of George Washington University School Of Medicine (1983).

NPPES Registry Identity

NPI1972588309
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH STUART OROURKECredential: MD
Location AddressRHEUMATOLOGY ASSOCIATES, PA, 51 SEWALL STREETPortland, ME 04102-2643
Mailing AddressRheumatology Associates, Pa, 51 Sewall StreetPortland, ME 04102-2643 · (207) 774-5761 · Fax (207) 874-7478
Fax(207) 874-7478
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1983
Enumeration DateDecember 8, 2005
Last NPPES UpdateJanuary 28, 2019
NPI 1972588309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in ME · MD21645
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35999 (NC)
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 35999 (NC)
RHEUMATOLOGY ASSOCIATES, PA, Portland, ME 04102

Other Identifiers 9

Other44250NC · Medcost
Other5826162Aetna
Medicaid8964269NC
Medicaid2005058000WV
Medicaid6014631VA
MedicaidQ35999SC
Medicaid1060000000ME
Other64269NC · Bcbs
Other4263NC · Partners

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

Kenneth Stuart Orourke 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 ID2264577626
PECOS Enrollment IDI20170714000943
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 25

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
64,000 services16 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,502 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
567 services225 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.
525 services268 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
408 services153 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
407 services151 patients

Hospital Affiliations CMS Care Compare 3

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

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

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

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.

95.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.72
Improvement Activities40

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 Kenneth Orourke's NPI number?

The NPI number for Kenneth Orourke is 1972588309. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Kenneth Orourke located?

Kenneth Orourke practices at Rheumatology Associates, PA 51 Sewall Street, Portland, ME 04102. The listed phone number is (207) 774-5761.

What is Kenneth Orourke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kenneth Orourke enrolled in Medicare?

Yes. Kenneth Orourke 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 Kenneth Orourke accept?

Health plans from Anthem Blue Cross and Blue Shield list Kenneth Orourke 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 Kenneth Orourke affiliated with any hospitals?

According to CMS data, Kenneth Orourke is affiliated with Maine Medical Center, Bridgton Hospital and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Kenneth Orourke was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.