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MATTHEW P GUILBEAULT PA-C
NPI 1306956974
Physician Assistant - Surgical in Portland, ME

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1601 CONGRESS ST, PORTLAND, ME 04102(207) 774-5113(207) 874-0320 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew P Guilbeault Pa-c NPPES

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

MATTHEW P GUILBEAULT PA-C (NPI 1306956974) is an individual surgical provider in Portland, Maine, licensed in Maine (PA001078) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1306956974
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMATTHEW P GUILBEAULTCredential: PA-C
Location Address1601 CONGRESS STPortland, ME 04102-2102
Mailing Address1601 Congress StPortland, ME 04102-2102 · (207) 774-5113 · Fax (207) 874-0320
Phone(207) 774-5113
Fax(207) 874-0320
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1306956974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA001078
1601 CONGRESS ST, Portland, ME 04102
Open in Google Maps ↗

Other Identifiers 1

Other098980ME · Anthem Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Matthew P Guilbeault 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 ID7719955509
PECOS Enrollment IDI20070122000588
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 2

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 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.
24 services23 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
14 services14 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

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.

MRS. ROSIE ANKHARTZ SLP
Speech-Language Pathologist
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-5710
DR. DAVID T. GREENLEAF M.D.
Orthopaedic Surgery
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-5113
MAUREEN G HABIF PA-C
Physician Assistant
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 661-0100
RACHEL RUBINO DUNLAP MD
Dermatology
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 661-0100
ISABELLE ELLEN SIMBARI M.S., CCC-SLP
Speech-Language Pathologist
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-5710
SACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC
Clinic/Center (Rehabilitation)
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-5113
RICHARD REED GRAMSE M.D.
Orthopaedic Surgery (Sports Medicine)
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-5113
DR. DAVID RICHARD KERR D.D.S.
Dentist (General Practice)
1601 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 775-0001

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 Guilbeault's NPI number?

The NPI number for Matthew Guilbeault is 1306956974. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Matthew Guilbeault located?

Matthew Guilbeault practices at 1601 Congress St, Portland, ME 04102. The listed phone number is (207) 774-5113.

What is Matthew Guilbeault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Guilbeault enrolled in Medicare?

Yes. Matthew Guilbeault 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 Guilbeault accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Guilbeault 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 Guilbeault affiliated with any hospitals?

According to CMS data, Matthew Guilbeault is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Guilbeault was last updated on March 7, 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.