Individual provider Active NPI

Chaddwick M. McBeigh, PA

  • Physician Assistant
  • Bridgton, ME
National Provider Identifier
1457685497
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1746 Issued in ME
Practice address
25 Hospital Dr Ste a
Bridgton, ME 04009-1167
Phone
(207) 647-2311
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1746 ME Primary

Addresses

Primary practice location

25 Hospital Dr Ste a
Bridgton, ME 04009-1167

Mailing address

180 Church Hill Rd Ste 1
Leeds, ME 04263-3418
Phone (207) 524-3501

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
I20190111000191 ME Practitioner - Physician Assistant 5799021739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgton HospitalGroup PAC ID 8123919099, 33 clinicians

Practice addresses (Care Compare)

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

14 Wyonegonic Rd
North Bridgton Family Practice and Walk in
Bridgton, ME 04009-4652
Phone (207) 647-9021

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
PA1746MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Nov 7, 2018 Accepting new patients

Locations

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

25 Hospital Dr
Ste A
Bridgton, ME 04009
Phone (207) 647-2311

Organizations & group practices 2

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 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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1457685497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CHURCH HILL RD STE 1",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501",
            "fax_number": "207-524-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL DR STE A",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091167",
            "telephone_number": "207-647-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBEIGH",
        "first_name": "CHADDWICK",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

Verify at the official NPI Registry.