AVERY THOMAS PELLNAT MD
NPI 1548963556
Hospitalist in Portland, ME

Q: What is Avery Pellnat's NPI number?

The NPI number for Avery Pellnat is 1548963556. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Avery Pellnat's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Pellnat was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 27, 2023PECOS Enrolled

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4618(207) 662-6254 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 7, 2026, Mar 27, 2023 (2 updates tracked since 2023).

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About Avery Thomas Pellnat Md NPPES

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

AVERY THOMAS PELLNAT MD (NPI 1548963556) is an individual hospitalist provider in Portland, Maine, licensed in Maine (MD30340) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of Ny Upstate Medical University (2023).

NPPES Registry Identity

NPI1548963556

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameAVERY THOMAS PELLNATCredential: MD

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-4618 · Fax (207) 662-6254

Phone(207) 662-4618

Fax(207) 662-6254

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2023

Enumeration DateMarch 27, 2023

Last NPPES UpdateMay 7, 20262 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1548963556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in ME · MD30340

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD30340 (ME)

22 BRAMHALL ST, Portland, ME 04102

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Secondary Practice Locations 2

Location 125 June StSanford, ME 04073-2621 · Phone (207) 324-4310 · Fax (207) 490-7999

Location 21 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7937 · Fax (207) 283-7018

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Thomas Pellnat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456708502

PECOS Enrollment IDI20260702002207

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.

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)