Individual provider Active NPI

Scott P Pelletier, MD

  • Emergency Medicine Physician
  • Calais, ME
National Provider Identifier
1881914513
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD19522 Issued in ME
Practice address
24 Hospital LN
Calais, ME 04619-1329
Phone
(207) 454-9213
Fax
(207) 454-3616
NPI assigned
Jun 4, 2010
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD19522 ME Primary

Addresses

Primary practice location

24 Hospital LN
Calais, ME 04619-1329

Mailing address

24 Hospital LN
Calais, ME 04619-1329
Phone (207) 454-9213

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
I20130802000190 ME Practitioner - Emergency Medicine 3870734809 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jun 22, 2020 Accepting new patients
Mainehealth CurrentSince Jun 22, 2020 Accepting new patients
Down East Community Hospital CurrentSince Feb 1, 2024 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Sep 6, 2016 Accepting new patients
Calais Community Hospital CurrentSince Feb 1, 2024 Accepting new patients
Down East Community Hospital Current Accepting new patients
Mainehealth Current Accepting new patients
Calais Community Hospital CurrentSince Feb 1, 2024 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Sep 6, 2016 Accepting new patients
Down East Community Hospital CurrentSince Feb 1, 2024 Accepting new patients

Locations

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

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

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

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

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • Direct secure messaging: spelletier1154593@direct.bsmhealth.org
  • Direct secure messaging: spelletier31317@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1881914513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-454-9213",
            "fax_number": "207-454-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-454-9213",
            "fax_number": "207-454-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "SCOTT",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD19522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

Verify at the official NPI Registry.