Individual provider Active NPI

Scott Andrew Tucker, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Saco, ME
National Provider Identifier
1629235049
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD28066 Issued in ME
Practice address
15 Lund Rd
Saco, ME 04072-1806
Phone
(207) 294-8960
Fax
(207) 294-8965
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD28066 ME Primary
Orthopaedic Surgery Physician 207X00000X MD28066 ME
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.203208 LA

Addresses

Primary practice location

15 Lund Rd
Saco, ME 04072-1806

Mailing address

15 Lund Rd
Saco, ME 04072-1806
Phone (207) 294-8960

Other practice location 1

46 Barra Rd
Biddeford, ME 04005-9459
Phone (207) 283-1126

Other practice location 2

25A June St Ste 16
Sanford, ME 04073-2615
Phone (207) 324-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, ME2 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
I20140911000782 LA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 7416198023 Reassigns benefits to 1 organization
I20240705003031 ME Practitioner - Orthopedic Surgery 7416198023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

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

25 A June St
Sanford, ME 04073-2642

46 Barra Rd
Suite 201202
Biddeford, ME 04005-9459
Phone (207) 282-3349

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.203208LAMDSports Medicine (Orthopaedic Surgery) Physician
MD28066MEMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 15, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 15, 2024 Accepting new patients
Mainehealth Past Accepting new patients

Locations

46 Barra Rd
Biddeford, ME 04005
Phone (207) 282-3349

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

15 Lund Rd
Saco, ME 04072
Phone (207) 282-4210

25A June St
Ste 16
Sanford, ME 04073
Phone (207) 324-1488

Interoperability endpoints

  • Direct secure messaging: stucker712705@direct.mmc.mainehealth.org
  • Direct secure messaging: satucker@osno.directmessaging.net

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1629235049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LUND RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721806",
            "telephone_number": "207-294-8960",
            "fax_number": "207-294-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LUND RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721806",
            "telephone_number": "207-294-8960",
            "fax_number": "207-294-8965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Barra Rd",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059459",
            "country_code": "US",
            "telephone_number": "207-283-1126",
            "fax_number": "207-294-3544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25A June St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732615",
            "country_code": "US",
            "telephone_number": "207-324-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ME",
            "license": "MD28066",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "MD28066",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "MD.203208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.