Active NPI
Christopher Matthew Mutter, D.O.
- Diagnostic Radiology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO2974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104231687 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 PA
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
- Mainehealth Maine Medical Center
- St Mary'S Regional Medical Center
- Lincolnhealth
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO2974 | ME | MD | Diagnostic Radiology Physician |
| 5101022053 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, P.a | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | 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
- 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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Westbrook, ME
- NPI 1023619939
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Auburn, ME
- NPI 1417613456
-
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1669488011
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
Hospital & facility affiliations 43
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.