JOHN TIVNAN D.O. NPI 1518315142

NPI Information

  • NPI: 1518315142
  • Provider Name: JOHN TIVNAN, D.O.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1365 BROADWAY
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 942-6226

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NPI Details

John Tivnan, D.O. is an interventional pain medicine pain medicine in Bangor, ME with 10 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. John Tivnan, D.O. NPI is 1518315142. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:2016

The provider's business location address is:

1365 BROADWAY
BANGOR, ME
ZIP 04401-401
Phone: (207) 942-6226
Fax: (207) 992-2756

The NPI 1518315142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Osteopathic manipulative treatment, 1-2 body regions (HCPCS:98925)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose (HCPCS:J7321)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Injection, cefazolin sodium, 500 mg (HCPCS:J0690)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)

The enumeration date for this NPI number is 5/24/2016 and was last updated on 1/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineDO3257MAINENo
2208VP0014XPain MedicineInterventional Pain MedicineDO3257MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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