Individual provider Active NPI

Charles M Carpenter, MD

  • Clinical Cardiac Electrophysiology Physician
  • Scarborough, ME
National Provider Identifier
1477598431
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD14820 Issued in ME
Practice address
96 Campus Drive
Suite 1
Scarborough, ME 04074
Phone
(207) 885-9905
Fax
(207) 396-5600
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD14820 ME
Clinical Cardiac Electrophysiology Physician 207RC0001X MD14820 ME Primary

Addresses

Primary practice location

96 Campus Drive
Suite 1
Scarborough, ME 04074

Mailing address

96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905

Other identifiers 3

IdentifierTypeStateIssuer
30200245OtherNHNEW HAMPSHIRE MEDICAID
036253OtherMEANTHEM
319330099MedicaidME

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627001120 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 0749225019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113

149 N St
Waterville, ME 04901-4974
Phone (207) 872-1800

181 Franklin Health CMNS
Farmington, ME 04938-6144

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

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 430-4321

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-4420

96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905

99 Campus Ave
Lewiston, ME 04240-6045

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
  • Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14820MEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jul 9, 2017 Accepting new patients
Mainehealth Current Accepting new patients
Maine Cardiology Associates Cardiovascular Disease Current Accepting new patients
Mainehealth CurrentSince Jul 13, 1998 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jul 9, 2017 Accepting new patients
Mainehealth CurrentSince Jul 13, 1998 Accepting new patients
Maine Medical Partners Cardiovascular Disease CurrentSince Jan 29, 2012 Accepting new patients
Maine Medical Partners CurrentSince Jan 29, 2012 Accepting new patients
Mainehealth Past Accepting new patients

Locations

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

198 Main St
Ste A
Lewiston, ME 04240
Phone (207) 755-4970

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420

99 Campus Ave
Ste 301
Lewiston, ME 04240
Phone (207) 777-4320

66 Bramhall St
Portland, ME 04102
Phone (207) 662-3157

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

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611

96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040

149 North St
Waterville, ME 04901
Phone (207) 622-1959

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: ccarpenter35680@direct.mmc.mainehealth.org

Organizations & group practices 10

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 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1477598431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747163",
            "telephone_number": "207-885-9905",
            "fax_number": "207-396-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DRIVE",
            "address_2": "SUITE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-885-9905",
            "fax_number": "207-396-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD14820",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "ME",
            "license": "MD14820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW HAMPSHIRE MEDICAID",
            "identifier": "30200245",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "036253",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319330099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.