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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARAH ELIZABETH HIPKENS MD
NPI 1497046072
Preventive Medicine - Addiction Medicine in Portland, ME

Active since April 29, 2011PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
576 SAINT JOHN ST, PORTLAND, ME 04102(207) 661-0700(207) 536-6720 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Sep 17, 2025, Dec 21, 2022 and 2 more (5 updates tracked since 2022).

About Sarah Elizabeth Hipkens Md NPPES

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

SARAH ELIZABETH HIPKENS MD (NPI 1497046072) is an individual addiction medicine provider in Portland, Maine, licensed in Maine (MD25329) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497046072
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameSARAH ELIZABETH HIPKENSCredential: MD
Location Address576 SAINT JOHN STPortland, ME 04102-2710
Mailing Address576 Saint John StPortland, ME 04102-2710 · (207) 661-0700 · Fax (207) 536-6720
Phone(207) 661-0700
Fax(207) 536-6720
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2011
Enumeration DateApril 29, 2011
Last NPPES UpdateOctober 12, 20265 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1497046072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in ME · MD25329
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 MD25329 (ME), 277151 (NY)
576 SAINT JOHN ST, Portland, ME 04102
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18 Pikes HlNorway, ME 04268-5340 · Phone (207) 744-6444 · Fax (207) 743-6306
Location 2300 Professional Dr Ste 2CScarborough, ME 04074-8897 · Phone (207) 883-7926

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Elizabeth Hipkens 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 ID7618290479
PECOS Enrollment IDI20221229001741
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sarah Hipkens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
0.7 mi
Maternal & Fetal Medicine
887 CONGRESS ST, SUITE 200
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1346299815 (Maine)
  • 3,140 clinicians in this Medicare group
NPI 1063726891 (207) 771-5549
Maine Medical Partners
3.6 mi
Family Medicine
1 HARNOIS AVE
Westbrook, ME 04092
  • Reassigned Medicare billing, Maine enrollment
  • 206 clinicians in this Medicare group
NPI 1790896876 (207) 662-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
51 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

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.

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 10

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

EMILY-ANNE GARLAND LCPC
Counselor (Professional)
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 780-0020
JEAN ROBBINS LCSW
Social Worker (Clinical)
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 780-0020
DR. HEATHER ASHLEY METCALF MD
Family Medicine (Addiction Medicine)
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 661-0700
PAUL RANUCCI LCPC
Counselor (Addiction (Substance Use Disorder))
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 780-0020
KAYLA BLACKBOROW LCSW
Social Worker (Clinical)
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 661-0700
KRISTEN B SILVIA MD
Preventive Medicine (Addiction Medicine)
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 661-0700
JOHN TAGGART WASS LCSW
Social Worker (Clinical)
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 661-0700
DEBORAH JEAN BRYENTON LSW-ADDICTION
Counselor (Addiction (Substance Use Disorder))
576 SAINT JOHN ST
PORTLAND, ME 04102
Cumberland County (207) 780-0020

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 Sarah Hipkens's NPI number?

The NPI number for Sarah Hipkens is 1497046072. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Sarah Hipkens located?

Sarah Hipkens practices at 576 Saint John St, Portland, ME 04102. The listed phone number is (207) 661-0700.

What is Sarah Hipkens's specialty?

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

Is Sarah Hipkens enrolled in Medicare?

Yes. Sarah Hipkens 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.

Which organizations bill Medicare for Sarah Hipkens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Hipkens reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Maine Medical Partners (Westbrook, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Hipkens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Hipkens accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sarah Hipkens 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 Sarah Hipkens affiliated with any hospitals?

According to CMS data, Sarah Hipkens is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Sarah Hipkens was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.