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Douglas Gardner Ertman

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NPI Number Detailed Information

Provider Information:

Name: Douglas Gardner Ertman
Gender: M
Provider License Number If Given: 14987

NPI Information:

NPI: 1043253636
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/13/2006

Last Update Date: 1/25/2012

Reputation Report:

Provider Business Mailing Address:

Address: 144 STATE ST
Portland, ME 04101
Phone Number: 2078793000
Fax Number:

Provider Business Practice Location Address:

Address: 385 ROUTE 1
Yarmouth, ME 04096
Phone Number: 2075351200
Fax Number: 2075351249

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: ME

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About Douglas Gardner Ertman

Douglas Gardner Ertman ( DOUGLAS GARDNER ERTMAN ) is Family Family Medicine Physician in Yarmouth, ME. The NPI Number for Douglas Gardner Ertman is 1043253636.
The current location address for Douglas Gardner Ertman is 385 ROUTE 1 Yarmouth, ME 04096 and the contact number is 2078793000 and fax number is . The mailing address for Douglas Gardner Ertman is 144 STATE ST Portland, ME 04101- 2075351200 (mailing address contact number - 2078793000).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Douglas Gardner Ertman ?


Answer: The NPI Number for Douglas Gardner Ertman is 1043253636

Where is Douglas Gardner Ertman located?


Answer: Douglas Gardner Ertman is located at 385 ROUTE 1 Yarmouth, ME 04096.

What is the specialty for Douglas Gardner Ertman ?


Answer: The Specialty of Douglas Gardner Ertman is Family Family Medicine Physician.

Are there any online reviews for Douglas Gardner Ertman ?


Answer: Yes! Check It Now.

Are there any other health care providers in Yarmouth, ME?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Douglas Gardner Ertman

Number of HCPCS 19
Number of Medicare Beneficiaries 266
Number of Services 300
Total Submitted Charge Amount 46520.75
Total Medicare Allowed Amount 22608.11
Total Medicare Payment Amount 15187.92
Total Medicare Standardized Payment Amount 15479.41
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 19
Number of Medicare Beneficiaries With Medical 266
Number of Medical Services 300
Total Medical Submitted Charge Amount 46520.75
Total Medical Medicare Allowed Amount 22608.11
Total Medical Medicare Payment Amount 15187.92
Total Medical Medicare Standardized Payment Amount 15479.41
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65 69
Number of Beneficiaries Age 65 to 74 93
Number of Beneficiaries Age 75 to 84 77
Number of Beneficiaries Age Greater 84 27
Number of Female Beneficiaries 148
Number of Male Beneficiaries 118
Number of Non-Hispanic White Beneficiaries 249
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 116
Number of Beneficiaries With Medicare Only Entitlement 150
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.05
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.21
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.41
Percent (%) of Beneficiaries Identified With Hypertension 0.53
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.3
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.05
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1551

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 264
Number of Standardized 30-Day Fills 265.13333333
Aggregate Cost Paid for All Claims 2929.79
Number of Day's Supply for All Claims 2212
Number of Medicare Beneficiaries 233
Number of Claims, Including Refills, for Beneficiaries Age 65+ 204
Including Refills, for Beneficiaries Age 65+ 205
Beneficiaries Age 65+ 2137.36
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1674
Number of Medicare Beneficiaries Age 65+ 182
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 255
Aggregate Cost Paid for Generic Drugs 2692.92
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 178
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1924.79
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 86
Aggregate Cost Paid for Claims Filled by 1005
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 94
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1142.02
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 170
by Low-Income Subsidy 1787.77
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 152
Aggregate Cost Paid for Antibiotic Drugs 1346.86
Antibiotic Claims 142
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 69.060085837
Number of Beneficiaries Age Less Than 65 51
Number of Beneficiaries Age 65 to 74 99
Number of Beneficiaries Age 75 to 84 65
Number of Female Beneficiaries 157
Number of Male Beneficiaries 76
Number of Non-Hispanic White 222
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 151
Average Hierarchical Condition Category 1.0648391794

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