CHRISTOPHER PEZZULLO D.O.
NPI 1417933060
Pediatrics in Portland, ME

Q: What is Christopher Pezzullo's NPI number?

The NPI number for Christopher Pezzullo is 1417933060. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Q: What is Christopher Pezzullo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since December 15, 2005PECOS Enrolled

295 FOREST AVE, 2ND FLOOR, PORTLAND, ME 04101(207) 772-5437(207) 879-1537 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Christopher Pezzullo D.o. NPPES

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

CHRISTOPHER PEZZULLO D.O. (NPI 1417933060) is an individual pediatrics provider in Portland, Maine, licensed in Maine (1505) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417933060

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameCHRISTOPHER PEZZULLOCredential: D.O.

Location Address295 FOREST AVE, 2ND FLOORPortland, ME 04101-2018

Mailing Address295 Forest Ave, 2nd FloorPortland, ME 04101-2018 · (207) 772-5437 · Fax (207) 879-1537

Phone(207) 772-5437

Fax(207) 879-1537

Sole ProprietorNo

Enumeration DateDecember 15, 2005

Last NPPES UpdateJune 24, 2016

✔ NPI 1417933060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ME · 1505

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

295 FOREST AVE, Portland, ME 04101

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Other Identifiers 3

Medicare ID-Type UnspecifiedMM6329ME

Medicaid293660099ME

Medicare UPING26539ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Pezzullo D.o. 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 04101 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.

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.

HANNAFORD BROS CO LLC

Pharmacy (Community/Retail Pharmacy)

295 FOREST AVE
PORTLAND, ME 04101

Cumberland County (207) 761-5967

PAULA VOKEY LCSW

Social Worker (Clinical)

295 FOREST AVE, 2ND FLOOR
PORTLAND, ME 04101

Cumberland County (207) 772-5437

ELWEN EATON

Pharmacy Technician

295 FOREST AVE, 2R HANNAFORD PLAZA
PORTLAND, ME 04101

Cumberland County (207) 885-2098

ERIK EDWARDS PHARM D

Pharmacist

295 FOREST AVE
PORTLAND, ME 04101

Cumberland County (207) 885-2011

ANGELA BRUCE WILLIAMS

Pharmacist

295 FOREST AVE
PORTLAND, ME 04101

Cumberland County (207) 885-2098

SHAUNA MYLES PHARMD

Pharmacist

295 FOREST AVE
PORTLAND, ME 04101

Cumberland County (207) 761-5967

LISA MARIE MARTIN

Pharmacist

295 FOREST AVE
PORTLAND, ME 04101

Cumberland County (207) 885-2098

AMY VERVILLE PHARM.D

Pharmacist

295 FOREST AVE
PORTLAND, ME 04101

Cumberland County (207) 885-2098

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 Christopher Pezzullo's NPI number?

The NPI number for Christopher Pezzullo is 1417933060. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Christopher Pezzullo located?

Christopher Pezzullo practices at 295 Forest Ave 2nd Floor, Portland, ME 04101. The listed phone number is (207) 772-5437.

What is Christopher Pezzullo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Christopher Pezzullo enrolled in Medicare?

Yes. Christopher Pezzullo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Pezzullo was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.