DR. MATTHEW DAVID CARPENTER MD
NPI 1689171951
Hospitalist in Augusta, ME

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330(207) 626-1000 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Aug 11, 2021, Apr 12, 2018 (3 updates tracked since 2018).

About Dr. Matthew David Carpenter Md NPPES

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

DR. MATTHEW DAVID CARPENTER MD (NPI 1689171951) is an individual hospitalist provider in Augusta, Maine, licensed in Maine (MD24258) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689171951
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MATTHEW DAVID CARPENTERCredential: MD
Location Address35 MEDICAL CENTER PKWYAugusta, ME 04330-8160
Mailing Address35 Medical Center PkwyAugusta, ME 04330-8160 · (207) 626-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1689171951 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 · MD24258
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 MD24258 (ME)
35 MEDICAL CENTER PKWY, Augusta, ME 04330

Secondary Practice Locations 2

Location 1123 Medical Center DrBrunswick, ME 04011-2652 · Phone (207) 373-6000 · Fax (207) 373-6080
Location 2VA Bldg 1, Dogwood AvenueJohnson City, TN 37614-0622 · Phone (423) 439-6282

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

Dr. Matthew David Carpenter Md 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 ID42616948
PECOS Enrollment IDI20210901000273
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 Matthew Carpenter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
Family Medicine
49 HOOPER ST
Wiscasset, ME 04578
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
183 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
92 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
61 services60 patients
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.
30 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Family)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330

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 Matthew Carpenter's NPI number?

The NPI number for Matthew Carpenter is 1689171951. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Matthew Carpenter located?

Matthew Carpenter practices at 35 Medical Center Pkwy, Augusta, ME 04330. The listed phone number is (207) 626-1000.

What is Matthew Carpenter's specialty?

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

Is Matthew Carpenter enrolled in Medicare?

Yes. Matthew Carpenter 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 Matthew Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Carpenter reassigns Medicare benefits to 2 organizations: Mainegeneral Medical Center (Augusta, ME) and Mainehealth (Wiscasset, 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 Matthew Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Carpenter accept?

Health plans from Taro Health list Matthew Carpenter 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 Matthew Carpenter affiliated with any hospitals?

According to CMS data, Matthew Carpenter is affiliated with Maine Medical Center, Mid Coast Hospital and Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Carpenter was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.