Active NPI 1679539175 Individual Practitioner Female Practitioner

Dr. Michelle E Toder , MD

Specialist • Bangor, ME

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Toder, MD is a registered healthcare professional specializing in Specialist in Bangor, ME. Practice services are available at 417 STATE ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

417 State St
Suite 330

Bangor, ME 044016630

Telephone 2079738881

Fax 2079738880

Associated Practice Facility / Clinic

🏢 Northeast Nephrology Pa Facility NPI 1336145200

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bangor, ME

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.4 Yrs

State Avg: 33.1 Yrs

Regional Practice Density

34 Specialists

Practicing in Bangor, ME (267 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$421.08	$125.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$115.18	$50.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$111.00	$49.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$286.36	$108.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$256.92	$74.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$324.96	$103.84
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$112.27	$48.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$195.74	$73.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$417.67	$120.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$259.57	$71.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	35	$282.42	$103.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$404.43	$120.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$192.75	$73.22
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$113.50	$47.41

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ME 014542

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

269690099 (ME)

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Ali Khavari , MD

Urology

NPI 1013913433

Doctor of Medicine (M.D.)

Dr. Steven Kozusko , MD, MED

Surgery - Plastic and Reconstructive Surgery

NPI 1033598248

Doctor of Medicine (M.D.), Master of Education

Calli Lynch

Physician Assistant - Surgical

NPI 1033991591

Kelsie Espling , PA-C

Physician Assistant - Surgical

NPI 1063181899

Physician Assistant (Certified)

Grace Pearson , PA-C

Physician Assistant

NPI 1063836849

Physician Assistant (Certified)

Dr. Brad Waddell , MD

Surgery

NPI 1194772061

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2014

Registered at 417 STATE ST, SUITE 330, BANGOR, ME 044016630 (Tel: 2079738881)

📍

Updated Business Mailing Address February 28, 2014

Registered at 43 WHITING HILL RD, SUITE 300, BREWER, ME 044121005 (Tel: 2079735035)

👤

Provider Name / Credentials Updated February 28, 2014

Recorded as MICHELLE TODER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2014

Specialist (License #014542 in ME)

🟢

Initial NPI Registration & Enumeration April 24, 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: 1679539175

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2006

Last Update: February 28, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

43 Whiting Hill Rd, Suite 300

Brewer, ME 044121005

Phone: 2079735035

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.