Kelly Pizzo, M.D.
NPI 1376986513 · Gastroenterology Physician · Portland, ME
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Pizzo, M.D. is a Gastroenterology Physician provider in Portland, ME (NPI 1376986513).
Provider details
- NPI number
- 1376986513
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD23093 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
565 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 179 | $74 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 81 | $6 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $131 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 67 | $251 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 56 | $97 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 155 | 79 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 47 | 47 |
| Ursodiol | 36 | — |
| Lipase/Protease/Amylasebrand: Creon | 35 | — |
| Mesalamine | 28 | — |
| Ustekinumabbrand: Stelara | 26 | — |
| Dicyclomine Hcl | 21 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$146 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 48 Gilman StPortland, ME 04102-3004Phone: (207) 661-4400
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Frequently asked questions
- What is Kelly Pizzo's NPI number?
- Kelly Pizzo's National Provider Identifier (NPI) is 1376986513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Pizzo's specialty?
- Kelly Pizzo is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Pizzo located?
- Kelly Pizzo's practice location on file with NPPES is 161 Marginal Way, Portland, ME 04101-2438.
- What is Kelly Pizzo's phone number?
- The practice phone number listed in the NPPES registry for Kelly Pizzo is (207) 773-7964.
- Does Kelly Pizzo accept Medicare?
- Kelly Pizzo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Pizzo's NPI active?
- Yes — Kelly Pizzo's NPI (1376986513) is active in the NPPES registry as of the last update on 2021-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.