Active NPI 1194721720 Individual Practitioner Male Practitioner

Dr. Mark Adam Billington , MD

Surgery • Presque Isle, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Billington, MD is a certified Surgery practicing in Presque Isle, ME. With approximately 38 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 1988, Dr. Billington delivers high-quality medical care to the local community at 140 ACADEMY ST.

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

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, 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

140 Academy St

Presque Isle, ME 047693102

Telephone 2077646310

Fax 2077641898

Associated Practice Facility / Clinic

🏢 Aroostook Mri, Llc Facility NPI 1669473591

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Presque Isle, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +18.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Presque Isle, ME (246 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Billington (38 Years) 38 Yrs

Presque Isle Specialty Average (20.0 Years) 20.0 Yrs

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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$95.63	$45.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$95.00	$37.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$242.00	$129.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$235.00	$133.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	62	$124.52	$49.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	31	$63.00	$24.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	30	$499.00	$108.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$891.00	$251.65
45380 Biopsy of large bowel using an endoscope	14	14	$751.00	$146.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$184.00	$73.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	123	$119.14	$48.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	104	$60.61	$24.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	91	89	$480.27	$100.40
45380 Biopsy of large bowel using an endoscope	85	84	$725.59	$115.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	80	78	$861.60	$248.76
45378 Diagnostic exam of large bowel using a flexible endoscope	77	76	$605.45	$172.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$189.00	$75.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$179.85	$73.14
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$406.55	$84.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$607.06	$180.83
43249 Balloon dilation of esophagus using an endoscope	16	16	$483.50	$141.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$548.00	$194.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME MD08360

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1194721720 (ME)

Hospital & Practice Group Affiliations

Mainehealth

4 Glen Cove Dr, Rockport, ME 048564236

Phone: 2079215737

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Jason Kaiser , MD

Surgery

NPI 1184986416

Doctor of Medicine (M.D.)

Dr. Herbert Jurgeleit , MD

Colon & Rectal Surgery

NPI 1336166735

Doctor of Medicine (M.D.)

Dr. Jarmal Charles , MD

Surgery

NPI 1396398418

Doctor of Medicine (M.D.)

Dr. Autumn Sacklow , MD

Surgery

NPI 1427552678

Doctor of Medicine (M.D.)

Dr. Rodney Lahren , MD

Surgery

NPI 1831188135

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 July 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2013

Registered at 140 ACADEMY ST, PRESQUE ISLE, ME 047693102 (Tel: 2077646310)

📍

Updated Business Mailing Address July 31, 2013

Registered at 140 ACADEMY ST, PRESQUE ISLE, ME 047693102 (Tel: 2077646310)

👤

Provider Name / Credentials Updated July 31, 2013

Recorded as MARK BILLINGTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Surgery (License #MD08360 in ME)

🟢

Initial NPI Registration & Enumeration June 28, 2005

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: 1194721720

Entity Type:

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

Enumeration Date: June 28, 2005

Last Update: July 31, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

140 Academy St

Presque Isle, ME 047693102

Phone: 2077646310

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.