1. Home
  2. Directory
  3. Maine
  4. Scarborough
  5. Psychiatry Neurology
  6. NPI Profile

DR. BENJAMIN JAMES DRAPCHO MD
NPI 1124523337
Psychiatry & Neurology - Neurology in Scarborough, ME

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
92 CAMPUS DR FL 2, SCARBOROUGH, ME 04074(207) 883-1414 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2023, Jul 17, 2022, Mar 28, 2018 (3 updates tracked since 2018).

About Dr. Benjamin James Drapcho Md NPPES

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

DR. BENJAMIN JAMES DRAPCHO MD (NPI 1124523337) is an individual neurology provider in Scarborough, Maine, licensed in Maine (MD26944) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Warren Alpert Medical School Of Brown University (2018).

NPPES Registry Identity

NPI1124523337
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BENJAMIN JAMES DRAPCHOCredential: MD
Location Address92 CAMPUS DR FL 2Scarborough, ME 04074-7228
Mailing Address92 Campus Dr Fl 2Scarborough, ME 04074-7228 · (207) 883-1414
Phone(207) 883-1414
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1124523337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ME · MD26944
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
92 CAMPUS DR FL 2, Scarborough, ME 04074
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin James Drapcho 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 ID1456600618
PECOS Enrollment IDI20230703001213
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 Billing Reassignments

2

Medicare enrollment records show Benjamin Drapcho reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Partners
Same address
Neurology
92 CAMPUS DRIVE, 2ND FLOOR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • 69 clinicians in this Medicare group
NPI 1215269626 (207) 883-1414
Maine Medical Partners
Same address
Surgery
92 CAMPUS DRIVE, 3RD FLOOR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Mainehealth
  • 3,140 clinicians in this Medicare group
NPI 1346687167 (207) 774-6368

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.
100 services82 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
49 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 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.
23 services23 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.
22 services20 patients
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.
19 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox 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
$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
$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.

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 3

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

RACHEL LYN BAIRD APRN
Nurse Practitioner (Pediatrics)
92 CAMPUS DR FL 2
SCARBOROUGH, ME 04074
Cumberland County (207) 883-1414
MS. PAMELA JUNE PAHEL NP
Nurse Practitioner
92 CAMPUS DR FL 2
SCARBOROUGH, ME 04074
Cumberland County (207) 883-1414
BENJAMIN SCHMIDT PA-C
Physician Assistant (Medical)
92 CAMPUS DR FL 2
SCARBOROUGH, ME 04074
Cumberland County (207) 883-1414

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 Benjamin Drapcho's NPI number?

The NPI number for Benjamin Drapcho is 1124523337. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Benjamin Drapcho located?

Benjamin Drapcho practices at 92 Campus Dr Fl 2, Scarborough, ME 04074. The listed phone number is (207) 883-1414.

What is Benjamin Drapcho's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Benjamin Drapcho enrolled in Medicare?

Yes. Benjamin Drapcho 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.

Which organizations bill Medicare for Benjamin Drapcho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Drapcho reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Scarborough, ME) and Maine Medical Partners (Scarborough, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Drapcho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Drapcho accept?

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

According to CMS data, Benjamin Drapcho is affiliated with Maine Medical Center, Mid Coast Hospital and Penobscot Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Drapcho was last updated on June 12, 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.