MARIE MASSE CALDWELL MD
NPI 1972863447
Internal Medicine - Endocrinology, Diabetes & Metabolism in Scarborough, ME

Q: What is Marie Caldwell's NPI number?

The NPI number for Marie Caldwell is 1972863447. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Q: What is Marie Caldwell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Marie Caldwell was last updated on July 26, 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.

Active since May 18, 2012PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

175 US ROUTE 1, SCARBOROUGH, ME 04074(207) 396-7700(207) 396-7701 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2019, Jun 20, 2019, Dec 14, 2016 (3 updates tracked since 2016).

On this page

About Marie Masse Caldwell Md NPPES

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

MARIE MASSE CALDWELL MD (NPI 1972863447) is an individual endocrinology, diabetes & metabolism provider in Scarborough, Maine, licensed in Maine (MD22889) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972863447

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameMARIE MASSE CALDWELLCredential: MD

Location Address175 US ROUTE 1Scarborough, ME 04074-9048

Mailing Address175 Us Route 1Scarborough, ME 04074-9048 · (207) 396-7700 · Fax (207) 396-7701

Phone(207) 396-7700

Fax(207) 396-7701

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 18, 2012

Last NPPES UpdateJuly 26, 20193 updates tracked since enumeration

✔ NPI 1972863447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in ME · MD22889

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2015-00436 (NC)

175 US ROUTE 1, Scarborough, ME 04074

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, 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

Marie Masse Caldwell 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 ID7719103548

PECOS Enrollment IDI20190903002981

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 5

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.

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.

131 services97 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.

56 services50 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

46 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services17 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.

24 services13 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number201302

Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County

Emergency services

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

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

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

Most-billed visit code 99214

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.

98.06/100

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

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

8 suppliers28 claims354 services$17.18 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

8 suppliers28 claims870 services$2.29 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers26 claims135 services$5.45 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers15 claims34 services$0.96 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers16 claims16 services$319.56 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

4 suppliers11 claims740 services$7.34 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.

DR. JAYACHIDAMBARAM AMBALAVANAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)