Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN MLADUCKY PA-C
NPI 1033777362
Physician Assistant in South Portland, ME

Active since June 01, 2019PECOS EnrolledAccepts Medicare Assignment
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106(207) 661-0200(207) 661-0299 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Jan 4, 2024, Oct 29, 2020 and 2 more (5 updates tracked since 2019).

About John Mladucky Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MLADUCKY PA-C (NPI 1033777362) is an individual physician assistant in South Portland, Maine, licensed in Maine (PA1957) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033777362
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN MLADUCKYCredential: PA-C
Location Address265 WESTERN AVE STE 2South Portland, ME 04106-2458
Mailing Address265 Western Ave Ste 2South Portland, ME 04106-2458 · (207) 661-0200 · Fax (207) 661-0299
Fax(207) 661-0299
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 1, 2019
Last NPPES UpdateSeptember 23, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1033777362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ME · PA1957
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
265 WESTERN AVE STE 2, South Portland, ME 04106

Secondary Practice Locations 3

Location 1175 Fore River PkwyPortland, ME 04102-2779 · Phone (207) 879-3000
Location 2300 Main StLewiston, ME 04240-7027 · Phone (207) 795-0111
Location 3655 Main StSaco, ME 04072-1699 · Phone (207) 294-5600

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Mladucky Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709114846
PECOS Enrollment IDI20190827002535
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
87 services68 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
70 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Physician Assistant
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Medical Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mladucky's NPI number?

The NPI number for John Mladucky is 1033777362. It was assigned to this individual provider in the NPPES registry on June 1, 2019.

Where is John Mladucky located?

John Mladucky practices at 265 Western Ave Ste 2, South Portland, ME 04106. The listed phone number is (207) 661-0200.

What is John Mladucky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Mladucky enrolled in Medicare?

Yes. John Mladucky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Mladucky accept?

Health plans from Anthem Blue Cross and Blue Shield list John Mladucky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Mladucky affiliated with any hospitals?

According to CMS data, John Mladucky is affiliated with Northern Light Health, Central Maine Medical Center and Bridgton Hospital.

When was this NPI record last updated?

The NPPES record for John Mladucky was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.