DR. JACOB EMERSON CROTHERS M.D.
NPI 1336433085
Preventive Medicine - Addiction Medicine in Portland, ME

Q: What is Jacob Crothers's NPI number?

The NPI number for Jacob Crothers is 1336433085. It was assigned to this individual provider in the NPPES registry on May 30, 2011.

Q: What is Jacob Crothers's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Crothers was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 30, 2011PECOS Enrolled

222 SAINT JOHN ST STE 322, PORTLAND, ME 04102(207) 560-3422 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Dec 18, 2020, May 11, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Jacob Emerson Crothers M.d. NPPES

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

DR. JACOB EMERSON CROTHERS M.D. (NPI 1336433085) is an individual addiction medicine provider in Portland, Maine, licensed in Maine (MD20886) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336433085

Entity TypeIndividualMale

Primary Taxonomy2083A0300X

Provider Legal NameDR. JACOB EMERSON CROTHERSCredential: M.D.

Location Address222 SAINT JOHN ST STE 322Portland, ME 04102-3059

Mailing Address222 Saint John St Ste 322Portland, ME 04102-3059 · (207) 560-3422

Phone(207) 560-3422

Sole ProprietorNo

Enumeration DateMay 30, 2011

Last NPPES UpdateJanuary 26, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1336433085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in ME · MD20886

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 052724 (CT)

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 052724 (CT)

222 SAINT JOHN ST STE 322, Portland, ME 04102

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Other Identifiers 2

Other008052299CT · Medicaid For Crothers

OtherD400163444CT · Medicare For Crothers

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Emerson Crothers M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician 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.

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.

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 Jacob Crothers's NPI number?

The NPI number for Jacob Crothers is 1336433085. It was assigned to this individual provider in the NPPES registry on May 30, 2011.

Where is Jacob Crothers located?

Jacob Crothers practices at 222 Saint John St Ste 322, Portland, ME 04102. The listed phone number is (207) 560-3422.

What is Jacob Crothers's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Jacob Crothers enrolled in Medicare?

Yes. Jacob Crothers is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Crothers accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Jacob Crothers 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.

When was this NPI record last updated?

The NPPES record for Jacob Crothers was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.