MS. SAMANTHA MALONE PA-C
NPI 1114595790
Physician Assistant in Portland, ME

Q: What is Samantha Malone's NPI number?

The NPI number for Samantha Malone is 1114595790. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Samantha Malone'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 Samantha Malone was last updated on November 8, 2022. 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.

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2022, Sep 13, 2021, Jun 11, 2021 (3 updates tracked since 2021).

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About Ms. Samantha Malone Pa-c NPPES

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

MS. SAMANTHA MALONE PA-C (NPI 1114595790) is an individual physician assistant in Portland, Maine, licensed in Maine (PA2436) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114595790

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. SAMANTHA MALONECredential: PA-C

Location Address22 BRAMHALL STPortland, ME 04102-3175

Mailing Address230 Prospect StPortland, ME 04103-3064 · (207) 807-1888

Phone(207) 662-0111

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 11, 2021

Last NPPES UpdateNovember 8, 20223 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1114595790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in ME · PA2436✔ Licensed in UT · 124500081206

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.

22 BRAMHALL ST, Portland, ME 04102

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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

Ms. Samantha Malone 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 ID3870962970

PECOS Enrollment IDI20221213000589

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

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 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.

28 services17 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 04102 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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)