MR. SAMUEL E UMBRIACO PA-C
NPI 1265550990
Physician Assistant in Scarborough, ME

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
96 CAMPUS DR, SCARBOROUGH, ME 04074(207) 563-4250(207) 563-4561 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Samuel E Umbriaco Pa-c NPPES

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

MR. SAMUEL E UMBRIACO PA-C (NPI 1265550990) is an individual physician assistant in Scarborough, Maine, licensed in Maine (PA1058) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2006).

NPPES Registry Identity

NPI1265550990
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SAMUEL E UMBRIACOCredential: PA-C
Location Address96 CAMPUS DRScarborough, ME 04074
Mailing AddressP.o. Box 16022Lewiston, ME 04243 · (207) 563-4250 · Fax (207) 563-4561
Fax(207) 563-4561
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2006
Enumeration DateMarch 27, 2007
Last NPPES UpdateDecember 23, 2014
NPI 1265550990 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 · PA1058 Licensed in ME · PA 0015058
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.
96 CAMPUS DR, Scarborough, ME 04074

Other Identifiers 1

Medicare PIN0000289ME

Accepted 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

Mr. Samuel E Umbriaco 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 ID9537266358
PECOS Enrollment IDI20070512000002
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
114 services108 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.
100 services97 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.
18 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 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
$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.

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 20

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

Nurse Practitioner (Family)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Registered Nurse
96 CAMPUS DR
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Family Medicine
96 CAMPUS DR
SCARBOROUGH, ME 04074

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 Samuel Umbriaco's NPI number?

The NPI number for Samuel Umbriaco is 1265550990. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Samuel Umbriaco located?

Samuel Umbriaco practices at 96 Campus Dr, Scarborough, ME 04074. The listed phone number is (207) 563-4250.

What is Samuel Umbriaco's specialty?

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

Is Samuel Umbriaco enrolled in Medicare?

Yes. Samuel Umbriaco 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 Samuel Umbriaco accept?

Health plans from WellSense Health Plan list Samuel Umbriaco 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 Samuel Umbriaco affiliated with any hospitals?

According to CMS data, Samuel Umbriaco is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Umbriaco was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.