Individual provider Active NPI

Matthew Picard

  • Physician Assistant
  • Bridgton, ME
National Provider Identifier
1790070654
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA001280 Issued in ME
Practice address
15 Hospital Dr
Bridgton, ME 04009-1156
Phone
(207) 647-3421
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA001280 ME Primary

Addresses

Primary practice location

15 Hospital Dr
Bridgton, ME 04009-1156

Mailing address

15 Hospital Dr
Bridgton, ME 04009-1156
Phone (207) 647-3421

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
I20110920000842 ME Practitioner - Physician Assistant 8325219561 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

149 N St
Waterville, ME 04901
Phone (207) 872-1000

15 Enterprise Dr
Mainegeneral Express Care
Augusta, ME 04330-7997
Phone (207) 621-8880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA001280MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Nov 17, 2022 Accepting new patients
State of Maine CurrentSince May 14, 2014 Accepting new patients
Bridgton Hospital CurrentSince Aug 18, 2014 Accepting new patients
Central Maine Medical Center CurrentSince Nov 19, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Nov 19, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 17, 2022 Accepting new patients
State of Maine CurrentSince May 14, 2014 Accepting new patients
Maine Medical Partners CurrentSince Aug 1, 2011 Accepting new patients
Maine Medical Partners CurrentSince Aug 1, 2011 Accepting new patients

Locations

109 Capitol St
#11
Augusta, ME 04330

656 State St
Bangor, ME 04401
Phone (207) 941-4000

15 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-3421

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

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

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

105 Topsham Fair Mall Rd
Unit 8
Topsham, ME 04086
Phone (207) 798-6300

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

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: matthewpicard@mgh.allscriptsdirect.net

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1790070654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091156",
            "telephone_number": "207-647-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091156",
            "telephone_number": "207-647-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARD",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

Verify at the official NPI Registry.