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CHARLES KEVIN BERGERON POULIN
NPI 1992291249
Family Medicine in Lewiston, ME

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment
79.37/100
CMS Quality Rating
76 HIGH ST, LEWISTON, ME 04240(207) 795-2800 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Charles Kevin Bergeron Poulin NPPES

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

CHARLES KEVIN BERGERON POULIN (NPI 1992291249) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (EC18180) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992291249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES KEVIN BERGERON POULIN
Location Address76 HIGH STLewiston, ME 04240-7649
Mailing Address76 High StLewiston, ME 04240-7649 · (207) 795-2800
Phone(207) 795-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 10, 2018
✔ NPI 1992291249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · EC18180
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
76 HIGH ST, Lewiston, ME 04240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Charles Kevin Bergeron Poulin 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 ID7719238286
PECOS Enrollment IDI20220315001380
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.

Hospital Affiliations CMS Care Compare 3

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin 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

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 04240 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
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.66
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.52 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.

BROCK TOSTENSON MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
LEO PARASKEVOPOULOS MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
ELIZA FOSTER DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
LARRY SPENCER FITCH DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
BRONTE ROBERTS LCPCC, LADC
Counselor (Professional)
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
PATRICIA COLLINS DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
RYAN JOHNSON DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
AL-ELAD PRIVOROZKY MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800

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 Charles Kevin Bergeron Poulin's NPI number?

The NPI number for Charles Kevin Bergeron Poulin is 1992291249. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Charles Kevin Bergeron Poulin located?

Charles Kevin Bergeron Poulin practices at 76 High St, Lewiston, ME 04240. The listed phone number is (207) 795-2800.

What is Charles Kevin Bergeron Poulin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Kevin Bergeron Poulin enrolled in Medicare?

Yes. Charles Kevin Bergeron Poulin 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 Charles Kevin Bergeron Poulin accept?

Health plans from Anthem Blue Cross and Blue Shield list Charles Kevin Bergeron Poulin 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 Charles Kevin Bergeron Poulin affiliated with any hospitals?

According to CMS data, Charles Kevin Bergeron Poulin is affiliated with Central Maine Medical Center, Bridgton Hospital and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Kevin Bergeron Poulin was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.