NPIMap

Individual provider Active NPI

John G Carson, M.D.

  • Vascular Surgery Physician
  • Scarborough, ME
National Provider Identifier
1871507228
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD21625 Issued in ME
Practice address
92 Campus Dr Ste D
Scarborough, ME 04074-7229
Phone
(207) 662-8900
NPI assigned
Jul 28, 2006
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 36117446 IL
Surgery Physician 208600000X A85584 CA
Vascular Surgery Physician 2086S0129X A85584 CA
Vascular Surgery Physician 2086S0129X 36117446 IL
Vascular Surgery Physician 2086S0129X MD21625 ME Primary

Addresses

Primary practice location

92 Campus Dr Ste D
Scarborough, ME 04074-7229

Mailing address

92 Campus Dr Ste D
Scarborough, ME 04074-7229
Phone (207) 662-8900

Other identifiers 1

IdentifierTypeStateIssuer
1871507228MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090831000194 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 7517012388 Reassigns benefits to 2 organizations
I20171019002012 ME Practitioner - Vascular SurgeryPractitioner - General Surgery 7517012388 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

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

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

92 Campus Dr
Scarborough, ME 04074-7229

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100

99 Campus Ave
Lewiston, ME 04240-6045

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
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85584CAMDVascular Surgery Physician
36117446ILMDVascular Surgery Physician
MD21625MEMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince May 15, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Jul 24, 2025 Accepting new patients
County of Monterey Behavioral Health CurrentSince Oct 5, 2025 Accepting new patients
County of Monterey CurrentSince Oct 5, 2025 Accepting new patients
Regents of the University of California CurrentSince Feb 24, 2015 Accepting new patients
Maine Medical Partners Surgery Current Accepting new patients
Maine Medical Partners Surgery CurrentSince May 15, 2023 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Central Maine Medical Center CurrentSince Jul 24, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince May 15, 2023 Accepting new patients
Maine Medical Partners CurrentSince May 15, 2023 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Feb 24, 2015 Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

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

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

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

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

92 Campus Dr
Ste D
Scarborough, ME 04074
Phone (207) 662-8900

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: jcarson580506@direct.mmc.mainehealth.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1871507228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE D",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-662-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE D",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-662-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "36117446",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A85584",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A85584",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "36117446",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "MD21625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871507228",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.