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Cecilia K. Trydestam, MD

NPI 1811121684ActiveIndividual· Surgery· Lewiston, ME

Surgery (MD) in Lewiston, Maine, trained at Temple University School of Medicine (class of 2009). Mostly services rather than prescriptions: Medicare paid $7,619 for 23 patients in 2024, with only 40 Part D claims.

Overview

NPI1811121684
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMay 8, 2009
Last updated in NPPESMar 24, 2025
Certified by providerMar 24, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000XMD24297ME
Surgery208600000XMD60458584WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Surgery (ME); Practitioner - General Surgery (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients23
Services billed45 across 25 procedure codes
Paid by Medicare$7,619

Part D prescriptions in 2024

Prescriptions (claims)40 · 40 30-day fills
Patients27
Total drug cost$113.01
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolTemple University School of Medicine
Graduation year2009
Medicare specialtyGeneral Surgery

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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