Doctor profile · Federal record
Dr. Kelly Fiack, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Bangor, ME
- NPI 1669812111
- Accepts Medicare
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
489 State St
Bangor, ME 044016616
(207) 992-4032
fax (207) 992-4034 - Mailing address
-
141 N Main St Ste 205
Brewer, ME 044122055
Credentials & registration
- NPI registered
- June 2013 — 13 yrs on file
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Maine #RNA133018
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669812111. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
664
Distinct HCPCS
10
Medicare allowed
$36,479
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J2704 |
Injection, propofol, 10 mg | 379 | 21 | $0 | |
01938 |
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 51 | 49 | $95 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 30 | 30 | $140 | |
J3010 |
Injection, fentanyl citrate, 0.1 mg | 26 | 19 | $1 | |
64447 |
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 22 | 21 | $61 | |
01940 |
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 21 | 21 | $109 | |
01402 |
Anesthesia for procedure for total knee joint replacement | 20 | 19 | $353 | |
00910 |
Anesthesia for other procedure on urinary system through urethra | 19 | 19 | $108 | |
00300 |
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back | 17 | 17 | $157 | |
00812 |
Anesthesia for exam of colon using an endoscope | 16 | 16 | $108 |
In context: peer comparison
Among 22 peers in this city , average services per provider: 31. This provider delivers 21× the peer median.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $20.48 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Fiack's medical specialty?
Dr. Kelly Fiack practices Certified Registered Nurse Anesthetist in Bangor, ME.
Where does Dr. Kelly Fiack practice?
Dr. Kelly Fiack practices at 489 State St, Bangor, ME 044016616. Office phone: 2079924032.
What is Dr. Kelly Fiack's NPI?
Dr. Kelly Fiack's National Provider Identifier (NPI) is 1669812111, issued by NPPES.
Does Dr. Kelly Fiack accept Medicare assignment?
Yes. Dr. Kelly Fiack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Fiack commonly perform?
Top Medicare-reported procedures in 2023: Injection, propofol, 10 mg (HCPCS J2704); Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS 01938); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.