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SAMUEL EMERSON HAZARD PA-C
NPI 1619315819
Physician Assistant in Portland, ME

Active since June 10, 2013PECOS EnrolledAccepts Medicare Assignment
22 BRAMHALL ST RM 2218, PORTLAND, ME 04102(207) 662-5610 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2020, Dec 30, 2019 (2 updates tracked since 2019).

About Samuel Emerson Hazard Pa-c NPPES

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

SAMUEL EMERSON HAZARD PA-C (NPI 1619315819) is an individual physician assistant in Portland, Maine, licensed in Maine (PA376) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Newton.

NPPES Registry Identity

NPI1619315819
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL EMERSON HAZARDCredential: PA-C
Location Address22 BRAMHALL ST RM 2218Portland, ME 04102-3134
Mailing Address22 Bramhall St Rm 2218Portland, ME 04102-3134
Phone(207) 662-5610
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 10, 2013
Last NPPES UpdateJanuary 7, 20202 updates tracked since enumeration
✔ NPI 1619315819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ME · PA376
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
22 BRAMHALL ST RM 2218, Portland, ME 04102
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Secondary Practice Location 1

Location 12014 Washington StNewton, MA 02462-1607 · Phone (617) 243-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Emerson Hazard Pa-c 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 ID3274760319
PECOS Enrollment IDI20200225001545
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 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
$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
$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.

Other Providers at the Same Location NPPES

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

KATHERINE ELIZABETH STEBBINS PA-C
Physician Assistant (Medical)
22 BRAMHALL ST RM 2218
PORTLAND, ME 04102
Cumberland County (207) 662-5610

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 Samuel Hazard's NPI number?

The NPI number for Samuel Hazard is 1619315819. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Samuel Hazard located?

Samuel Hazard practices at 22 Bramhall St Rm 2218, Portland, ME 04102. The listed phone number is (207) 662-5610.

What is Samuel Hazard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Hazard enrolled in Medicare?

Yes. Samuel Hazard 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.

Is Samuel Hazard affiliated with any hospitals?

According to CMS data, Samuel Hazard is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Hazard was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.