DR. HEATHER L DECAROLIS DO
NPI 1992763130
Anesthesiology in Farmington, ME
About Dr. Heather L Decarolis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER L DECAROLIS DO (NPI 1992763130) is an individual anesthesiology provider in Farmington, Maine, licensed in Maine (DO1832) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Heather L Decarolis Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Decarolis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, ME 04938
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Franklin Memorial Hospital
- 72 clinicians in this Medicare group
Farmington, ME 04938
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1922791417 (Maine), NPI 1346299815 (Maine)
- 3,140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
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.
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.
FARMINGTON, ME 04938
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 Heather Decarolis's NPI number?
The NPI number for Heather Decarolis is 1992763130. It was assigned to this individual provider in the NPPES registry on May 3, 2006.
Where is Heather Decarolis located?
Heather Decarolis practices at 111 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 778-6031.
What is Heather Decarolis's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Heather Decarolis enrolled in Medicare?
Yes. Heather Decarolis 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.
Which organizations bill Medicare for Heather Decarolis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Decarolis reassigns Medicare benefits to 2 organizations: Mainehealth (Farmington, ME) and Mainehealth (Farmington, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Decarolis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Decarolis accept?
Health plans from Taro Health list Heather Decarolis 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.
When was this NPI record last updated?
The NPPES record for Heather Decarolis was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.