PAUL DUNTON
NPI 1558748442
Social Worker - Clinical in Freeport, ME

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment
31 ALLEN RANGE RD, FREEPORT, ME 04032(207) 570-0926 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Dunton NPPES

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

PAUL DUNTON (NPI 1558748442) is an individual clinical provider in Freeport, Maine and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558748442
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePAUL DUNTON
Location Address31 ALLEN RANGE RDFreeport, ME 04032-6612
Mailing Address31 Allen Range RdFreeport, ME 04032-6612
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 30, 2015
✔ NPI 1558748442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
31 ALLEN RANGE RD, Freeport, ME 04032

Accepted 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

Paul Dunton 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 ID2365872686
PECOS Enrollment IDI20200428000665
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 Paul Dunton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
62 ELM ST
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 162 clinicians in this Medicare group
General Acute Care Hospital
195 FORE RIVER PKWY, SUITE 300
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 clinicians in this Medicare group

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 04032 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
$0.00 typical visit price
range $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Paul Dunton's NPI number?

The NPI number for Paul Dunton is 1558748442. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Paul Dunton located?

Paul Dunton practices at 31 Allen Range Rd, Freeport, ME 04032. The listed phone number is (207) 570-0926.

What is Paul Dunton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paul Dunton enrolled in Medicare?

Yes. Paul Dunton 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 Paul Dunton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Dunton reassigns Medicare benefits to 2 organizations: Spurwink Services Incorporated (Portland, ME) and Mercy Hospital (Portland, 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 Paul Dunton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Dunton accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Paul Dunton 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.

When was this NPI record last updated?

The NPPES record for Paul Dunton was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.