Individual provider Active NPI

Timothy M Grace, PA

  • Physician Assistant
  • Lewiston, ME
National Provider Identifier
1215047584
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA735 Issued in ME
Practice address
300 Main St
Lewiston, ME 04240-7027
Phone
(207) 795-0111
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA735 ME
Physician Assistant 363A00000X PA735 ME Primary

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7027

Mailing address

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Other practice location 1

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 301-8542

Other practice location 2

118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 338-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000209 ME Practitioner - Physician Assistant 2860382892 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgton HospitalGroup PAC ID 8123919099, 33 clinicians
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians
Maine Medical Consultants PCGroup PAC ID 7810229259, 46 clinicians
Pai Participant 7 PCGroup PAC ID 2466788906, 31 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-5646

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 518-8869

367 US Route 1
Suite 3S
Falmouth, ME 04105-1352
Phone (207) 962-1200

Hospital & facility affiliations

  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
66.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Rumford Hospital CurrentSince Oct 12, 2014 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Central Maine Medical Center CurrentSince Feb 1, 2009 Accepting new patients
Bridgton Hospital CurrentSince Nov 8, 2012 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Central Maine Medical Center CurrentSince Feb 1, 2009 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 30, 2018 Accepting new patients
Intermed, PA PastSince Mar 20, 1991 Accepting new patients
Intermed, PA Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

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

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

5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

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

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1215047584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Glen Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564272",
            "country_code": "US",
            "telephone_number": "207-301-8542",
            "fax_number": "207-301-5277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Northport Ave",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156009",
            "country_code": "US",
            "telephone_number": "207-338-2500",
            "fax_number": "207-505-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA735",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.