PAUL R PULTORAK D.O.
NPI 1649362724
Anesthesiology in Bangor, ME
About Paul R Pultorak D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL R PULTORAK D.O. (NPI 1649362724) is an individual anesthesiology provider in Bangor, Maine, licensed in Maine (DO1960) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2002).
NPPES Registry Identity
Specialties & Licenses
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 R Pultorak D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Pultorak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 259 clinicians in this Medicare group
York, ME 03909
- Reassigned Medicare billing, Maine enrollment
- 347 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MEYork Hospital
Acute Care Hospitals · York, MEMedicare 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.
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.
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 Pultorak's NPI number?
The NPI number for Paul Pultorak is 1649362724. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Paul Pultorak located?
Paul Pultorak practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-1430.
What is Paul Pultorak's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Paul Pultorak enrolled in Medicare?
Yes. Paul Pultorak 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 Pultorak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Pultorak reassigns Medicare benefits to 2 organizations: St. Joseph Hospital (Bangor, ME) and York Hospital (York, 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 Pultorak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paul Pultorak affiliated with any hospitals?
According to CMS data, Paul Pultorak is affiliated with St Joseph Hospital and York Hospital.
When was this NPI record last updated?
The NPPES record for Paul Pultorak was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Paul R Pultorak, D.O. · NPI 1649362724
Anesthesiology physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1649362724 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** DO1960 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 BROADWAY, Bangor, ME 04401
- **Phone:** (207) 907-1430 · **Fax:** (207) 907-3508
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Joseph Hospital (NPI 1154321545, Bangor, ME); York Hospital (NPI 1376528398, York, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2002
## Record status
- **NPPES last updated:** February 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649362724) · Data from the CMS NPPES public registry.