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AVERY THOMAS PELLNAT MD
NPI 1548963556
Hospitalist in Portland, ME

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Avery Pellnat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth
Same address
Infectious Disease
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1073701157 (207) 662-3067

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

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)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 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.

Where is Avery Pellnat located?

Avery Pellnat practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-4618.

What is Avery Pellnat's specialty?

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

Is Avery Pellnat enrolled in Medicare?

Yes. Avery Pellnat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Avery Pellnat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avery Pellnat reassigns Medicare benefits to Mainehealth (Portland, ME). The 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 Avery Pellnat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.