GORDON LOUGHLIN HAZEN PA
NPI 1689600298
Physician Assistant in Portland, ME

Q: What is Gordon Hazen's NPI number?

The NPI number for Gordon Hazen is 1689600298. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Gordon Hazen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gordon Hazen was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gordon Loughlin Hazen Pa NPPES

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

GORDON LOUGHLIN HAZEN PA (NPI 1689600298) is an individual physician assistant in Portland, Maine, licensed in Maine (PA2928) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Hudson.

NPPES Registry Identity

NPI1689600298

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGORDON LOUGHLIN HAZENCredential: PA

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-0111

Phone(207) 662-0111

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJune 24, 2006

Last NPPES UpdateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1689600298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in ME · PA2928✔ Licensed in NY · 004258

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.

22 BRAMHALL ST, Portland, ME 04102

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Secondary Practice Location 1

Location 171 Prospect Ave, Suite L10Hudson, NY 12534-2907 · Phone (518) 697-3555 · Fax (518) 697-3558

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

Gordon Loughlin Hazen Pa 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 ID7911046362

PECOS Enrollment IDI20260305003782

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.

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.

13 services12 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 20

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

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)