Active NPI
Carl R Cutshall, PA
- Medical Physician Assistant
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA337
- Practice address
- 153 Maple St
Bangor, ME 04401-4031 - Phone
- (207) 942-8790
- NPI assigned
- Oct 18, 2006
- Last updated
- Jan 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA337 | ME | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | ME337 | ME |
Addresses
Primary practice location
153 Maple St
Bangor, ME 04401-4031
Mailing address
153 Maple St
Bangor, ME 04401-4031
Phone (207) 942-8790
Other practice location 1
119 Northport Ave Fl 1
Belfast, ME 04915-6069
Phone (207) 505-4567
Other practice location 2
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4250
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111
5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME337 | ME | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| Richard J Mazzei MD PA | Past | Accepting new patients |
Locations
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
119 Northport Ave
Fl 1
Belfast, ME 04915
Phone (207) 505-4567
24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- ccutshall182207@direct.mmc.mainehealth.org
Organizations & group practices 8
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.
-
dba MaineHealth Lincoln Hospital
- Critical Access Hospital
- Damariscotta, ME
- NPI 1912094806
-
dba Maine Coast Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Ellsworth, ME
- NPI 1447204763
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatrics Physician
- Falmouth, ME
- NPI 1629382601
-
- Orthopaedic Surgery Physician
- Bangor, ME
- NPI 1346419843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Lincoln Hospital
- Critical Access Hospital
- Damariscotta, ME
- NPI 1912094806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1932280559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 MAPLE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014031",
"telephone_number": "207-942-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 MAPLE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014031",
"telephone_number": "207-942-8790"
}
],
"practiceLocations": [
{
"address_1": "119 Northport Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Belfast",
"state": "ME",
"postal_code": "049156069",
"country_code": "US",
"telephone_number": "207-505-4567",
"fax_number": "207-536-2794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Miles Center Way",
"address_purpose": "LOCATION",
"city": "Damariscotta",
"state": "ME",
"postal_code": "045434067",
"country_code": "US",
"telephone_number": "207-563-4250",
"fax_number": "207-810-4977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUTSHALL",
"first_name": "CARL",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ME",
"license": "PA337",
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "ME",
"license": "ME337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.