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Active NPI 1538108022 Individual Practitioner Male Practitioner

Dr. Thomas J Vanidestine , DC, CCSP

Chiropractor • Bangor, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Vanidestine, DC, CCSP is a certified Chiropractor practicing in Bangor, ME. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Vanidestine delivers high-quality medical care to the local community at 336 MOUNT HOPE AVE.

Dr. Vanidestine is affiliated with Katahdin Valley Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

336 Mount Hope Ave
Suite 11

Bangor, ME 044014236

Telephone 2079422800
Fax 2079902362
Associated Practice Facility / Clinic
🏢 Maine Urology Associates P.a. Facility NPI 1346205457

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Bangor, ME

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +8.9 yrs vs City Avg
City Avg: 27.1 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Bangor, ME (443 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanidestine (36 Years) 36 Yrs
Bangor Specialty Average (27.1 Years) 27.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
61 16 $40.00 $26.14

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ME CR814

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
121660000 (ME)
Medicaid State Provider ID
121660099 (ME)
Commercial Insurance / Payer ID Aetna
5314274 (ME)
Commercial Insurance / Payer ID Railroad Medicare
P00282285 (ME)
Commercial Insurance / Payer ID Great West/acn
610664 (ME)
Commercial Insurance / Payer ID First Health
68974 (ME)
Commercial Insurance / Payer ID Blue Cross/anthem
001039 (ME)
Commercial Insurance / Payer ID Harvard Pilgrim
MN0080 (ME)
Commercial Insurance / Payer ID Cigna
5734579 (ME)

Hospital & Practice Group Affiliations

Katahdin Valley Health Center

180 Main Rd, Brownville, ME 044143107

Phone: 2075282285

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Lewis Phillips , MD

Internal Medicine

NPI 1104810266

Doctor of Medicine (M.D.)

Dr. Hans Holzwarth , MD

Internal Medicine

NPI 1104819598

Doctor of Medicine (M.D.)

Heather Lander , PT

Physical Therapist

NPI 1124204110

Physical Therapist

Erin Pelletier , PT

Physical Therapist

NPI 1144239583

Physical Therapist

Dr. Mark Lausier , DMD

Dentist - General Practice

NPI 1184734105

Doctor of Dental Medicine

Kathleen Cousins , WHCNP

Nurse Practitioner - Women's Health

NPI 1376534727

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2016

Registered at 336 MOUNT HOPE AVE, SUITE 11, BANGOR, ME 044014236 (Tel: 2079422800)

📍
Updated Business Mailing Address December 01, 2016

Registered at 336 MOUNT HOPE AVE, SUITE 11, BANGOR, ME 044014236 (Tel: 2079422800)

👤
Provider Name / Credentials Updated December 01, 2016

Recorded as THOMAS VANIDESTINE, DC, CCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2016

Chiropractor (License #CR814 in ME)

🟢
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538108022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: December 01, 2016
Sole Proprietor: Yes

Mailing Address

336 Mount Hope Ave, Suite 11

Bangor, ME 044014236

Phone: 2079422800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.