Active NPI 1407294192 Individual Practitioner Male Practitioner

Dr. Daniel Hetherman , MD

Surgery • Bangor, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Hetherman, MD is a certified Surgery practicing in Bangor, ME. With approximately 13 years of clinical experience since graduating from University Of Massachusetts Medical School in 2013, Dr. Hetherman delivers high-quality medical care to the local community at 417 STATE ST STE 330.

Dr. Hetherman is affiliated with Eastern Maine Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older. 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 Ste 330

Bangor, ME 04401

Telephone 2079738881

Associated Practice Facility / Clinic

🏢 Northeast Surgery, P.a. Facility NPI 1457489106

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bangor, ME

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -9.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

20 Specialists

Practicing in Bangor, ME (246 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hetherman (13 Years) 13 Yrs

Bangor Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	36	36	$387.64	$124.00
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$160.00	$61.52

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	29	29	$416.69	$125.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$278.07	$77.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$232.91	$91.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$271.27	$79.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$1338.74	$315.07
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$210.21	$63.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$85.75	$17.68
49650 Repair of groin hernia using an endoscope	14	14	$1695.64	$435.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$268.49	$80.24
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	23	$83.43	$17.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1380.76	$311.17
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$204.05	$64.87
76937 Ultrasonic guidance for blood vessel access	18	18	$88.83	$13.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$221.53	$95.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$370.93	$130.74

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	38	38	$412.45	$125.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$206.67	$76.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$81.44	$18.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$255.56	$73.35
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1341.67	$328.58
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$130.25	$49.92

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	59	59	$412.98	$124.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$197.81	$76.02
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	23	$81.00	$18.12
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$1331.00	$326.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$400.29	$106.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$262.00	$73.15
49650 Repair of groin hernia using an endoscope	14	14	$1740.14	$358.79
76937 Ultrasonic guidance for blood vessel access	13	13	$85.00	$14.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$564.00	$136.36

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	38	38	$395.97	$124.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$320.29	$107.05

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME 22303

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Eastern Maine Medical Center

489 State St, Bangor, ME 044016616

Phone: 2079737000

Eastern Maine Medical Center

417 State St, Bangor, ME 044016638

Phone: 2079738881

Practice Associates & Co-Workers

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

17 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

9 Historical Events

📍

Updated Practice Location August 07, 2018

Registered at 417 STATE ST STE 330, BANGOR, ME 04401 (Tel: 2079738881)

📍

Updated Business Mailing Address August 07, 2018

Registered at 43 WHITING HILL RD STE 300, BREWER, ME 044121006 (Tel: 2079735042)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2018

Surgery (License #22303 in ME)

✅

NPI Profile Active June 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2013

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

📍

Updated Business Mailing Address June 05, 2013

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

👤

Provider Name / Credentials Updated June 05, 2013

Recorded as DANIEL HETHERMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2013

Surgery (License #255694 in MA)

🟢

Initial NPI Registration & Enumeration June 05, 2013

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: 1407294192

Entity Type:

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

Enumeration Date: June 05, 2013

Last Update: August 07, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

43 Whiting Hill Rd Ste 300

Brewer, ME 044121006

Phone: 2079735042

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.