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KRISTEN ALYSE SCOPAZ MD
NPI 1114171857
Family Medicine in Scarborough, ME

Active since November 07, 2008PECOS EnrolledAccepts Medicare Assignment
20 MUSSEY RD, SCARBOROUGH, ME 04074(207) 885-1333(207) 885-1332 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Alyse Scopaz Md NPPES

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

KRISTEN ALYSE SCOPAZ MD (NPI 1114171857) is an individual family medicine provider in Scarborough, Maine, licensed in Maine (MD19333) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114171857
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTEN ALYSE SCOPAZCredential: MD
Location Address20 MUSSEY RDScarborough, ME 04074-9570
Mailing Address20 Mussey RdScarborough, ME 04074-9570 · (207) 885-1333 · Fax (207) 885-1332
Phone(207) 885-1333
Fax(207) 885-1332
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 7, 2008
Last NPPES UpdateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1114171857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD19333
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License MD19333 (ME)
20 MUSSEY RD, Scarborough, ME 04074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Kristen Alyse Scopaz 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 ID6305097825
PECOS Enrollment IDI20121109000505
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 3

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.

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.
65 services29 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.
40 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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 04074 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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
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 4

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

SOUTHERN MAINE PSYCHOTHERAPY LLC
Social Worker (Clinical)
20 MUSSEY RD
SCARBOROUGH, ME 04074
Cumberland County (207) 200-5621
MICHAEL JOHNSTON LCSW
Social Worker (Clinical)
20 MUSSEY RD
SCARBOROUGH, ME 04074
Cumberland County (207) 838-0512
GWENDOLYN OGUIN DO
Family Medicine
20 MUSSEY RD, SUITE 2
SCARBOROUGH, ME 04074
Cumberland County (207) 885-1333
CLAUDIA WINOGRAD HEISE M.D. PH.D.
Family Medicine
20 MUSSEY RD, STE 2
SCARBOROUGH, ME 04074
Cumberland County (207) 535-1880

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 Kristen Scopaz's NPI number?

The NPI number for Kristen Scopaz is 1114171857. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Kristen Scopaz located?

Kristen Scopaz practices at 20 Mussey Rd, Scarborough, ME 04074. The listed phone number is (207) 885-1333.

What is Kristen Scopaz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristen Scopaz enrolled in Medicare?

Yes. Kristen Scopaz 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 Kristen Scopaz accept?

Health plans from Harvard Pilgrim Health Care list Kristen Scopaz 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 Kristen Scopaz affiliated with any hospitals?

According to CMS data, Kristen Scopaz is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Scopaz was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.