MRS. SUSAN L BUTTERWORTH NP
NPI 1760433619
Nurse Practitioner - Family in Rockport, ME

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
731 COMMERCIAL ST, SUITE 1, ROCKPORT, ME 04856(207) 701-3900 Get Directions Write a Review

NPPES record last updated: January 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Susan L Butterworth Np NPPES

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

MRS. SUSAN L BUTTERWORTH NP (NPI 1760433619) is an individual family provider in Rockport, Maine, licensed in Maine (AP111016) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1760433619
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSAN L BUTTERWORTHCredential: NP
Location Address731 COMMERCIAL ST, SUITE 1Rockport, ME 04856-4254
Mailing Address731 Commercial St, Suite 1Rockport, ME 04856-4254 · (207) 701-3900
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 2, 2012
NPI 1760433619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in ME · AP111016 Licensed in MA · 211346
731 COMMERCIAL ST, Rockport, ME 04856

Other Identifiers 1

Medicare UPINP31160MA

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

Mrs. Susan L Butterworth Np 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 ID6305730391
PECOS Enrollment IDI20110614000060
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
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.

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

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers94 claims94 services$43.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers48 claims48 services$111.84 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers65 claims176 services$42.39 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers76 claims428 services$23.26 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers53 claims298 services$17.41 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers89 claims89 services$68.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Pediatrics
731 COMMERCIAL ST, STE 2
ROCKPORT, ME 04856
Nurse Practitioner (Psychiatric/Mental Health)
731 COMMERCIAL ST
ROCKPORT, ME 04856
Pediatrics
731 COMMERCIAL ST
ROCKPORT, ME 04856
Social Worker (Clinical)
731 COMMERCIAL ST
ROCKPORT, ME 04856
Surgery
731 COMMERCIAL ST
ROCKPORT, ME 04856

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 Susan Butterworth's NPI number?

The NPI number for Susan Butterworth is 1760433619. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Susan Butterworth located?

Susan Butterworth practices at 731 Commercial St Suite 1, Rockport, ME 04856. The listed phone number is (207) 701-3900.

What is Susan Butterworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Butterworth enrolled in Medicare?

Yes. Susan Butterworth 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 Susan Butterworth affiliated with any hospitals?

According to CMS data, Susan Butterworth is affiliated with Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Susan Butterworth was last updated on January 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.