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DR. COLBY A WYATT MD PHD
NPI 1073788956
Pediatrics - Pediatric Pulmonology in Portland, ME

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102(207) 662-5522(207) 662-5527 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Colby A Wyatt Md Phd NPPES

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

DR. COLBY A WYATT MD PHD (NPI 1073788956) is an individual pediatric pulmonology provider in Portland, Maine, licensed in Maine (MD19591) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2008).

NPPES Registry Identity

NPI1073788956
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. COLBY A WYATTCredential: MD PHD
Location Address887 CONGRESS ST, SUITE 320Portland, ME 04102
Mailing Address301c Us Route OneScarborough, ME 04074 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 662-5522
Fax(207) 662-5527
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2008
Enumeration DateApril 23, 2008
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1073788956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in ME · MD19591
Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPediatricsTaxonomy 208000000X · License MD19591 (ME)
887 CONGRESS ST, Portland, ME 04102
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN003351701ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Colby A Wyatt Md Phd 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 ID345483475
PECOS Enrollment IDI20130821000443
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.

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.

MS. NICOLE L. MIZNER C.P.N.P.
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102
Cumberland County (207) 773-2723
KENNETH LOMBARD M.D.
Pediatrics (Pediatric Gastroenterology)
887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102
Cumberland County (207) 662-5522
JANICE M STILKEY PNP
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
LESLIE S WU MD
Surgery
887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
ANNE C COATES M.D.
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102
Cumberland County (207) 662-5522
MARIE H TANZER MD
Pediatrics (Pediatric Nephrology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
MAINEHEALTH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102
Cumberland County (207) 771-5549
DR. STACEY ANNE ROTTA M.D.
Surgery (Surgical Critical Care)
887 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-6368

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 Colby Wyatt's NPI number?

The NPI number for Colby Wyatt is 1073788956. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Colby Wyatt located?

Colby Wyatt practices at 887 Congress St Suite 320, Portland, ME 04102. The listed phone number is (207) 662-5522.

What is Colby Wyatt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Colby Wyatt enrolled in Medicare?

Yes. Colby Wyatt 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 Colby Wyatt accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Colby Wyatt 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.

When was this NPI record last updated?

The NPPES record for Colby Wyatt was last updated on September 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.