DR. ANDREW J CROUTER MD
NPI 1376962845
Emergency Medicine in Biddeford, ME

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005(207) 294-5000(207) 294-5227 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew J Crouter Md NPPES

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

DR. ANDREW J CROUTER MD (NPI 1376962845) is an individual emergency medicine provider in Biddeford, Maine, licensed in Maine (MD21746) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376962845
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANDREW J CROUTERCredential: MD
Location Address1 MEDICAL CENTER DRBiddeford, ME 04005-9422
Mailing Address1 Medical Center DrBiddeford, ME 04005-9422 · (207) 294-5000 · Fax (207) 294-5227
Fax(207) 294-5227
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
NPI 1376962845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in ME · MD21746
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 MEDICAL CENTER DR, Biddeford, ME 04005

Secondary Practice Locations 4

Location 1110 S Paca St, 6th Floor, Suite 200Baltimore, MD 21201-1642 · Phone (410) 328-8025
Location 225 June StSanford, ME 04073-2621 · Phone (207) 490-7450 · Fax (207) 490-7452
Location 3335 Brighton AvePortland, ME 04102-2363 · Phone (207) 662-0111 · Fax (207) 662-8133
Location 422 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-2381

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. Andrew J Crouter 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 ID2567738404
PECOS Enrollment IDI20171020002778
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
124 services122 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
102 services98 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 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 04005 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
$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.

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.

Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Physician Assistant
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Occupational Therapist
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Occupational Therapist
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005
Emergency Medicine
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005

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 Andrew Crouter's NPI number?

The NPI number for Andrew Crouter is 1376962845. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Andrew Crouter located?

Andrew Crouter practices at 1 Medical Center Dr, Biddeford, ME 04005. The listed phone number is (207) 294-5000.

What is Andrew Crouter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Crouter enrolled in Medicare?

Yes. Andrew Crouter 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.

Is Andrew Crouter affiliated with any hospitals?

According to CMS data, Andrew Crouter is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Crouter was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.