MR. TODD H CHISHOLM PA
NPI 1093804577
Physician Assistant in Rockland, ME

Q: What is Todd Chisholm's NPI number?

The NPI number for Todd Chisholm is 1093804577. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Todd Chisholm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Todd Chisholm was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2006PECOS Enrolled

12 UNION ST, ROCKLAND, ME 04841(207) 701-4400(207) 701-4487 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Todd H Chisholm Pa NPPES

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

MR. TODD H CHISHOLM PA (NPI 1093804577) is an individual physician assistant in Rockland, Maine, licensed in Maine (PA1230) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Kent.

NPPES Registry Identity

NPI1093804577

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. TODD H CHISHOLMCredential: PA

Location Address12 UNION STRockland, ME 04841-2739

Mailing Address12 Union StRockland, ME 04841-2739 · (207) 701-4400 · Fax (207) 701-4487

Phone(207) 701-4400

Fax(207) 701-4487

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateMarch 17, 2018

✔ NPI 1093804577 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 · PA1230

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.

12 UNION ST, Rockland, ME 04841

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Secondary Practice Location 1

Location 1104 East Main StreetFort Kent, ME 04743 · Phone (207) 834-3101 · Fax (207) 834-2917

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Todd H Chisholm Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04841 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.