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DR. JAMES A KUPER PSYD
NPI 1619570520
Psychologist - Clinical in Scarborough, ME

Active since November 21, 2020PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
127 HIGHLAND AVE, SCARBOROUGH, ME 04074(734) 417-1843 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2021, Nov 21, 2020 (2 updates tracked since 2020).

About Dr. James A Kuper Psyd NPPES

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

DR. JAMES A KUPER PSYD (NPI 1619570520) is an individual clinical provider in Scarborough, Maine, licensed in Maine (PS2052) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619570520
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES A KUPERCredential: PSYD
Location Address127 HIGHLAND AVEScarborough, ME 04074-8662
Mailing Address127 Highland AveScarborough, ME 04074-8662 · (734) 417-1843
Phone(734) 417-1843
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 21, 2020
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1619570520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in ME · PS2052
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 10926 (MA)
127 HIGHLAND AVE, Scarborough, ME 04074
Open in Google Maps ↗

Secondary Practice Locations 3

Location 125A June St Ste 15Sanford, ME 04073-2642 · Phone (207) 490-7932 · Fax (207) 490-7936
Location 249 Spring St Ste 101Scarborough, ME 04074-8926 · Phone (207) 883-7926 · Fax (207) 618-5021
Location 349 Spring St Ste 201Scarborough, ME 04074-8926 · Phone (207) 883-3491 · Fax (207) 618-5026

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James A Kuper Psyd 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 ID1850770819
PECOS Enrollment IDI20220622000264
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 2

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.

Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
50 services50 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 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 04074 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
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

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 James Kuper's NPI number?

The NPI number for James Kuper is 1619570520. It was assigned to this individual provider in the NPPES registry on November 21, 2020.

Where is James Kuper located?

James Kuper practices at 127 Highland Ave, Scarborough, ME 04074. The listed phone number is (734) 417-1843.

What is James Kuper's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is James Kuper enrolled in Medicare?

Yes. James Kuper 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.

What insurance does James Kuper accept?

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

According to CMS data, James Kuper is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for James Kuper was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.