DR. MATTHEW JAMES HEARST MD
NPI 1073724381
Otolaryngology in Portland, ME

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
43 BAXTER BLVD, PORTLAND, ME 04101(207) 775-6381(207) 775-3378 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew James Hearst Md NPPES

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

DR. MATTHEW JAMES HEARST MD (NPI 1073724381) is an individual otolaryngology provider in Portland, Maine, licensed in Maine (MD17823) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073724381
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MATTHEW JAMES HEARSTCredential: MD
Location Address43 BAXTER BLVDPortland, ME 04101-1823
Mailing Address43 Baxter BlvdPortland, ME 04101-1823 · (207) 797-5753 · Fax (207) 797-9751
Fax(207) 775-3378
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 25, 2007
Last NPPES UpdateOctober 22, 2018
NPI 1073724381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in ME · MD17823
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

43 BAXTER BLVD, Portland, ME 04101

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

Dr. Matthew James Hearst Md 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 ID3375625577
PECOS Enrollment IDI20080828000205
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 6

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.

Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
116 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services46 patients
Simple removal of skin debris and drainage of mastoid cavity 69220
This procedure involves clearing out skin debris and draining fluid from the mastoid cavity, an air-filled space in the skull behind the ear. It's done to relieve discomfort, improve hearing, and prevent complications related to ear infections or other conditions.
33 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
43 BAXTER BLVD
PORTLAND, ME 04101
Physical Therapist
43 BAXTER BLVD
PORTLAND, ME 04101
Nurse Practitioner (Acute Care)
43 BAXTER BLVD
PORTLAND, ME 04101
Physical Therapist
43 BAXTER BLVD
PORTLAND, ME 04101
Speech-Language Pathologist
43 BAXTER BLVD
PORTLAND, ME 04101
Occupational Therapist (Neurorehabilitation)
43 BAXTER BLVD
PORTLAND, ME 04101
Otolaryngology (Plastic Surgery within the Head & Neck)
43 BAXTER BLVD
PORTLAND, ME 04101
Internal Medicine (Nephrology)
43 BAXTER BLVD
PORTLAND, ME 04101

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 Matthew Hearst's NPI number?

The NPI number for Matthew Hearst is 1073724381. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Matthew Hearst located?

Matthew Hearst practices at 43 Baxter Blvd, Portland, ME 04101. The listed phone number is (207) 775-6381.

What is Matthew Hearst's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Matthew Hearst enrolled in Medicare?

Yes. Matthew Hearst 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 Matthew Hearst accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Matthew Hearst 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 Matthew Hearst affiliated with any hospitals?

According to CMS data, Matthew Hearst is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Hearst was last updated on October 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.