DR. HEATHER ASHLEY METCALF MD
NPI 1225639768
Family Medicine - Addiction Medicine in Portland, ME
About Dr. Heather Ashley Metcalf Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER ASHLEY METCALF MD (NPI 1225639768) is an individual addiction medicine provider in Portland, Maine, licensed in Maine (MD30477) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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. Heather Ashley Metcalf 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Metcalf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MEPhysician 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
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 Heather Metcalf's NPI number?
The NPI number for Heather Metcalf is 1225639768. It was assigned to this individual provider in the NPPES registry on November 2, 2020.
Where is Heather Metcalf located?
Heather Metcalf practices at 576 Saint John St, Portland, ME 04102. The listed phone number is (207) 661-0700.
What is Heather Metcalf's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Heather Metcalf enrolled in Medicare?
Yes. Heather Metcalf 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 organization bills Medicare for Heather Metcalf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Metcalf reassigns Medicare benefits to Mainehealth (Portland, ME). The 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 Heather Metcalf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Metcalf accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Heather Metcalf 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 Heather Metcalf affiliated with any hospitals?
According to CMS data, Heather Metcalf is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Heather Metcalf was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Dr. Heather Ashley Metcalf, MD · NPI 1225639768
Addiction Medicine physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since November 2, 2020.
## Identity
- **NPI:** 1225639768 (Entity type: Individual)
- **Enumerated:** November 2, 2020
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **State license:** MD30477 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 576 SAINT JOHN ST, Portland, ME 04102-2710
- **Phone:** (207) 661-0700 · **Fax:** (207) 536-6720
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mainehealth (NPI 1063726891, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225639768) · Data from the CMS NPPES public registry.