NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1366484230 MD
Verify on CMS → Mark Lena, MD
Gastroenterology Physician in Bangor, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
211
Medicare Part D claims · 69 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
98.4/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$69.01
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Mark Lena, MD reported a CMS MIPS final score of 98.4/100 - above the 83.1 national average - and filed 211 Medicare Part D claims in 2023.
- 98.4/100
- MIPS score · +15 vs avg
- 211
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Mark Lena, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 11% higher than 89% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mark Lena, MD sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Lena, MD writes more Part D claims than 15% of them and scores higher on MIPS quality than 89% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Mark Lena, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mark Lena, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Mark Lena, MD?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
211 75% vs specialty avg
MIPS final score
98.4/100 15.3 pts vs avg
Specialty distribution in Maine
How Gastroenterology Physician compares to other specialties among Maine providers
Medicare quality performance, MIPS
Mark Lena, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 98.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 98.4/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Mark Lena, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 360 BROADWAY STE 100, Bangor, ME, 04401, with a listed phone of (207) 907-3550. NPI 1366484230 was issued on 06/12/2006.
Medicare Part D records for calendar year 2023 show 211 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $272K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.4/100 for the 2023 performance year (Quality 86.9), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1366484230 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.4436
Final Score
Avg: 83.1
86.8872
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Mark Lena, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
St Joseph Hospital
★★★☆☆ 3/5
Bangor, ME
Acute Care Hospitals
CMS CCN: 200001
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Mark Lena, MD. Source: openpaymentsdata.cms.gov.
Total received
$69
Largest payer
Cook Medical LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
211
Total Claims
$272K
Total Drug Cost
69
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 312
- Total Day Supply
- 7,778
- Generic Drug Cost
- $8K
- Antibiotic Claims
- 27
Patient Demographics
- Average Patient Age
- 68.7 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mark Lena, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Xifaxan
Xifaxan
26 claims
- Peg 3350-Electrolyte
Peg 3350-Electrolyte
22 claims
- Pantoprazole Sodium
Pantoprazole Sodium
21 claims
- Esomeprazole Magne…
Esomeprazole Magnesium
19 claims
- Omeprazole
Omeprazole
16 claims
- Ondansetron Odt
Ondansetron Odt
12 claims
- Humira(Cf) Pen
Humira(Cf) Pen
11 claims
- Linzess
Linzess
11 claims
| Drug | Claims |
|---|---|
| Xifaxan Rifaximin | 26 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 22 |
| Pantoprazole Sodium | 21 |
| Esomeprazole Magnesium | 19 |
| Omeprazole | 16 |
| Ondansetron Odt Ondansetron | 12 |
| Humira(Cf) Pen Adalimumab | 11 |
| Linzess Linaclotide | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Mark Lena, MD fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Mark Lena, MD's 211 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Lena.
Dr. Phillip Amidon
MD
Bangor, ME
Dr. Miguel Arguedas - Brollo
MD
Brunswick, ME
Dr. Newell Augur
MD
Portland, ME
Dr. Brian Baggott
M.D.
Augusta, ME
Dr. Brian Berberian
M.D.
Bangor, ME
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Mark Lena, MD's specialty? ▼
Mark Lena, MD specializes in Gastroenterology Physician and practices in Bangor, Maine. Credentials: MD.
How much does Mark Lena, MD prescribe under Medicare Part D? ▼
In 2023, Mark Lena, MD wrote 211 Medicare Part D claims totaling $272K in drug costs for 69 beneficiaries.
What is Mark Lena, MD's Medicare quality score? ▼
Mark Lena, MD has a CMS MIPS Final Score of 98.4/100 (Quality: 86.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Lena, MD located? ▼
Mark Lena, MD is located at 360 BROADWAY STE 100, Bangor, ME, 04401. Phone: (207) 907-3550.
What is Mark Lena, MD's NPI number? ▼
Mark Lena, MD's National Provider Identifier (NPI) is 1366484230, issued on 06/12/2006.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Mark Lena, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Mark Lena, MD's most frequently prescribed drugs include Xifaxan, Peg 3350-Electrolyte, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Lena, MD accept Medicare? ▼
Mark Lena, MD appears in CMS Medicare data with 211 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Lena, MD's credentials? ▼
Mark Lena, MD's NPI is 1366484230 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.