Mary Iaculli, D.O.
NPI 1407266778 · Sports Medicine (Family Medicine) Physician · Portland, ME
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Iaculli, D.O. is a Sports Medicine (Family Medicine) Physician provider in Portland, ME (NPI 1407266778).
Provider details
- NPI number
- 1407266778
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- DO2695 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
410 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 168 | $124 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 105 | $93 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 49 | $89 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 35 | $159 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 20 | $64 |
| X-Ray of Knee, 4 Or More Views |
Practice location
Mailing address
Additional practice locations (3)
- 1 Boston Medical Ctr PlBoston Medical CenterBoston, MA 02118-2908Phone: (585) 738-4986
- 15 E Chestnut StAugusta, ME 04330-5736Phone: (207) 623-6663
- 77 Bates St Ste 201Lewiston, ME 04240-7637Phone: (207) 795-8465
Registry dates
- Enumerated
- 2014-05-07
- Last updated
- 2020-10-02
- Certified
- 2020-09-17
Frequently asked questions
- What is Mary Iaculli's NPI number?
- Mary Iaculli's National Provider Identifier (NPI) is 1407266778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Iaculli's specialty?
- Mary Iaculli is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Iaculli located?
- Mary Iaculli's practice location on file with NPPES is 331 Veranda St, Portland, ME 04103-5545.
- What is Mary Iaculli's phone number?
- The practice phone number listed in the NPPES registry for Mary Iaculli is (207) 828-2402.
- Does Mary Iaculli accept Medicare?
- Mary Iaculli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Iaculli's NPI active?
- Yes — Mary Iaculli's NPI (1407266778) is active in the NPPES registry as of the last update on 2020-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.