Individual provider Active NPI

Christopher Matthew Mutter, D.O.

  • Diagnostic Radiology Physician
  • Portland, ME
National Provider Identifier
1104231687
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO2974 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 828-2100
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101022053 MI
General Practice Physician 208D00000X 5101022053 MI
Diagnostic Radiology Physician 2085R0202X DO2974 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 448-2780

Other identifiers 1

IdentifierTypeStateIssuer
1104231687MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200610000332 ME Practitioner - Diagnostic Radiology 0446563423 Reassigns benefits to 4 organizations
I20220105000558 NH Practitioner - Diagnostic Radiology 0446563423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rocky Vista University College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, shared by 7 NPIs, 305 clinicians

Practice addresses (Care Compare)

11 Rock Row
Suite 1a
Westbrook, ME 04092-4877
Phone (207) 289-3100

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 871-2571

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

600 Turner St
Suite 1
Auburn, ME 04210-5093
Phone (207) 601-3333

Hospital & facility affiliations

  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2974MEMDDiagnostic Radiology Physician
5101022053MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, P.a Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Spectrum Healthcare Partners, P.a CurrentSince Dec 28, 2021 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology Current Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Dec 31, 2021 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Dec 28, 2021 Accepting new patients

Locations

600 Turner St
Ste 1
Auburn, ME 04210
Phone (207) 601-3333

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

11 Rock Row
Ste 1A
Westbrook, ME 04092
Phone (207) 289-3100

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: cmutter453152@direct.mmc.mainehealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1104231687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-448-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-828-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101022053",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101022053",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "DO2974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104231687",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.