DR. MATTHEW R SANBORN MD
NPI 1285783688
Neurological Surgery in Scarborough, ME

Q: What is Matthew Sanborn's NPI number?

The NPI number for Matthew Sanborn is 1285783688. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Matthew Sanborn's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Sanborn was last updated on August 12, 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.

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

49 SPRING STREET, SCARBOROUGH, ME 04074(207) 885-0011(207) 885-5851 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Matthew R Sanborn Md NPPES

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

DR. MATTHEW R SANBORN MD (NPI 1285783688) is an individual neurological surgery provider in Scarborough, Maine, licensed in Maine (MD20190) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Georgetown University School Of Medicine (2006).

NPPES Registry Identity

NPI1285783688

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. MATTHEW R SANBORNCredential: MD

Location Address49 SPRING STREETScarborough, ME 04074

Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632

Phone(207) 885-0011

Fax(207) 885-5851

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2006

Enumeration DateJanuary 9, 2007

Last NPPES UpdateAugust 12, 2014

✔ NPI 1285783688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in ME · MD20190✔ Licensed in PA · MT188762

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

49 SPRING STREET, Scarborough, ME 04074

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, 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

Dr. Matthew R Sanborn 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 ID1759500655

PECOS Enrollment IDI20140908001639

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 12

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.

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

46 services42 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.

33 services33 patients

Imaging of blood vessel 75898

Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.

27 services11 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

21 services21 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

20 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

15 services13 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

15 services15 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

14 services13 patients

Review by radiologist of image for insertion of material to block blood flow 75894

This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.

13 services11 patients

Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist 36227

This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.

12 services11 patients

Occlusion of central nervous system or spinal cord artery 61624

This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200039

Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County

Emergency services Birthing friendly

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number201302

Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County

Emergency services

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301307

Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County

Emergency services

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

$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

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

MS. BERNADETTE V BARNUM PA-C

Physician Assistant (Medical)

49 SPRING STREET
SCARBOROUGH, ME 04074

Cumberland County (207) 885-0011

MS. ANNE W HERRICK ANP

Nurse Practitioner (Adult Health)

49 SPRING STREET
SCARBOROUGH, ME 04074

Cumberland County (207) 883-1414

MRS. ANNE M ECKER PA-C

Physician Assistant (Surgical)

49 SPRING STREET
SCARBOROUGH, ME 04074

Cumberland County (207) 885-0011

STEPHEN D. RIOUX MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

49 SPRING STREET, 2ND FLOOR
SCARBOROUGH, ME 04074

Cumberland County (207) 883-1414

MS. MAXINE C GUAY PAGPCNP

Nurse Practitioner (Gerontology)

49 SPRING STREET
SCARBOROUGH, ME 04074

Cumberland County (207) 683-1414

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 Matthew Sanborn's NPI number?

The NPI number for Matthew Sanborn is 1285783688. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Matthew Sanborn located?

Matthew Sanborn practices at 49 Spring Street, Scarborough, ME 04074. The listed phone number is (207) 885-0011.

What is Matthew Sanborn's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Matthew Sanborn enrolled in Medicare?

Yes. Matthew Sanborn 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 Matthew Sanborn accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Matthew Sanborn 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 Matthew Sanborn affiliated with any hospitals?

According to CMS data, Matthew Sanborn is affiliated with Maine Medical Center, Mid Coast Hospital, Maine General Medical Center, Lincolnhealth and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Matthew Sanborn was last updated on August 12, 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.