Individual provider Active NPI

Jacob Quaytman, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Rockport, ME
National Provider Identifier
1396302659
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD27842 Issued in ME
Practice address
4 Glen Cove Dr Ste 107
Rockport, ME 04856-4236
Phone
(207) 301-5588
Fax
(207) 301-5188
NPI assigned
May 22, 2019
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34283 NH
Internal Medicine Physician 207R00000X MD27842 ME
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 34283 NH
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD27842 ME Primary

Addresses

Primary practice location

4 Glen Cove Dr Ste 107
Rockport, ME 04856-4236

Mailing address

4 Glen Cove Dr Ste 107
Rockport, ME 04856-4236
Phone (207) 301-5588

Other practice location 1

119 Northport Ave Fl 2
Belfast, ME 04915-6069
Phone (207) 505-4369

Other practice location 2

175 US Route 1
Scarborough, ME 04074-9048
Phone (207) 396-7700

Other practice location 3

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-0796

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
I20240727000205 ME Practitioner - EndocrinologyPractitioner - Internal Medicine 9234463316 Reassigns benefits to 1 organization
I20250505000543 NH Practitioner - EndocrinologyPractitioner - Internal Medicine 9234463316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

175 US Route 1
Scarborough, ME 04074-9048
Phone (207) 396-7700

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 5, 2024 Accepting new patients
Mainehealth Internal Medicine CurrentSince Aug 5, 2024 Accepting new patients
Memorial Hospital Current Accepting new patients
Mainehealth Current Accepting new patients
Memorial Hospital CurrentSince Jun 2, 2025 Accepting new patients
Memorial Hospital Endocrinology, Diabetes & Metabolism CurrentSince Jun 2, 2025 Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

119 Northport Ave
Fl 2
Belfast, ME 04915
Phone (207) 505-4505

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

4 Glen Cove Dr
Ste 107
Rockport, ME 04856
Phone (207) 594-4244

175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700

1 Riverfront Plz
Westbrook, ME 04092
Phone (207) 885-9905

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

Interoperability endpoints

  • Direct secure messaging: jquaytman717084@direct.mmc.mainehealth.org

Organizations & group practices 7

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

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1396302659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR STE 107",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564236",
            "telephone_number": "207-301-5588",
            "fax_number": "207-301-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR STE 107",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564236",
            "telephone_number": "207-301-5588",
            "fax_number": "207-301-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Northport Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156069",
            "country_code": "US",
            "telephone_number": "207-505-4369",
            "fax_number": "207-800-4158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 US Route 1",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040749048",
            "country_code": "US",
            "telephone_number": "207-396-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-0796",
            "fax_number": "603-356-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAYTMAN",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "34283",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27842",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NH",
            "license": "34283",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "ME",
            "license": "MD27842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.