Active NPI 1386606333 Individual Practitioner Male Practitioner

Dr. Michael N Albaum , MD

Internal Medicine • Biddeford, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Albaum, MD is a certified Internal Medicine practicing in Biddeford, ME. With approximately 35 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1991, Dr. Albaum delivers high-quality medical care to the local community at 30 W COLE RD.

Dr. Albaum is affiliated with Mainehealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 W Cole Rd

Biddeford, ME 040059458

Telephone 2072823349

Fax 2072826099

Associated Practice Facility / Clinic

🏢 Southern Maine Imaging Associates, Inc Facility NPI 1114904521

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Biddeford, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +10.8 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

36 Specialists

Practicing in Biddeford, ME (620 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Albaum (35 Years) 35 Yrs

Biddeford Specialty Average (24.2 Years) 24.2 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
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$259.30	$42.90
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$137.23	$73.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$207.15	$75.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$230.03	$47.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	32	$174.34	$74.85
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$114.72	$65.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	39	$159.11	$67.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$227.63	$55.87
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$101.97	$56.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	19	$143.17	$70.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	24	$157.55	$65.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$223.29	$50.37
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$109.57	$48.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	69	$103.31	$51.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	38	$157.04	$79.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$220.83	$117.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$141.70	$73.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	140	$70.25	$50.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	73	$110.72	$76.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$215.00	$117.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$133.00	$53.51
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$61.00	$50.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	129	$94.26	$77.24
99213 Established patient office or other outpatient visit, typically 15 minutes	210	132	$59.51	$50.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$207.79	$116.03
99495 Transitional care management services for problem of at least moderate complexity	16	13	$259.44	$109.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	140	$90.29	$77.32
99213 Established patient office or other outpatient visit, typically 15 minutes	170	107	$58.88	$50.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$205.00	$114.56
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	19	$24.00	$8.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$29.00	$25.03

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License ME 014021

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

284870099 (ME)

Commercial Insurance / Payer ID Cigna

610008801 (ME)

Commercial Insurance / Payer ID Anthem

017204 (ME)

Commercial Insurance / Payer ID Aetna

1044414 (ME)

Commercial Insurance / Payer ID Railroad Medicare

110120552 (ME)

Commercial Insurance / Payer ID Harvard Pilgrim

F80191 (ME)

Hospital & Practice Group Affiliations

Mainehealth

46 Barra Rd, Biddeford, ME 040059459

Phone: 2072823349

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Peter Kachavos , MD

Internal Medicine

NPI 1003866633

Doctor of Medicine (M.D.)

Dr. Jennifer Cutone , MD

Internal Medicine

NPI 1003879909

Doctor of Medicine (M.D.)

Dr. Saeeda Fatima , MD

Internal Medicine

NPI 1023490968

Doctor of Medicine (M.D.)

Dr. Nadeem Ali , MD

Internal Medicine

NPI 1053351528

Doctor of Medicine (M.D.)

Dr. Devon Huntley , MD

Internal Medicine

NPI 1063161347

Doctor of Medicine (M.D.)

Dr. Atit Patel , MD

Family Medicine

NPI 1144841107

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 September 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2012

Registered at 30 W COLE RD, BIDDEFORD, ME 040059458 (Tel: 2072823349)

📍

Updated Business Mailing Address September 13, 2012

Registered at 1 MEDICAL CENTER DR, PO BOX 626, BIDDEFORD, ME 040059422 (Tel: 2072829080)

👤

Provider Name / Credentials Updated September 13, 2012

Recorded as MICHAEL ALBAUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2012

Internal Medicine (License #014021 in ME)

🟢

Initial NPI Registration & Enumeration April 05, 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: 1386606333

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: September 13, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Center Dr, Po Box 626

Biddeford, ME 040059422

Phone: 2072829080

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.