JOHN UPEGUI P.A.
NPI 1811272990
Physician Assistant in Houlton, ME

Active since October 20, 2011PECOS EnrolledAccepts Medicare Assignment
22 HARTFORD ST STE 1, HOULTON, ME 04730(207) 532-4068(207) 532-9426 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Upegui P.a. NPPES

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

JOHN UPEGUI P.A. (NPI 1811272990) is an individual physician assistant in Houlton, Maine, licensed in Maine (PA2315) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1811272990
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN UPEGUICredential: P.A.
Location Address22 HARTFORD ST STE 1Houlton, ME 04730-1844
Mailing Address22 Hartford St Ste 1Houlton, ME 04730-1844 · (207) 532-4068 · Fax (207) 532-9426
Fax(207) 532-9426
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 20, 2011
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 3, 2025
NPI 1811272990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PA2315
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 9106014 (FL)
22 HARTFORD ST STE 1, Houlton, ME 04730

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

John Upegui P.a. 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 ID3072987643
PECOS Enrollment IDI20230322000399
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.

Hospital Affiliations CMS Care Compare 3

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04730 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
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

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 John Upegui's NPI number?

The NPI number for John Upegui is 1811272990. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is John Upegui located?

John Upegui practices at 22 Hartford St Ste 1, Houlton, ME 04730. The listed phone number is (207) 532-4068.

What is John Upegui's specialty?

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

Is John Upegui enrolled in Medicare?

Yes. John Upegui 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 John Upegui affiliated with any hospitals?

According to CMS data, John Upegui is affiliated with Northern Light A R Gould Hospital, Northern Light Eastern Maine Medical Center and Houlton Regional Hospital.

When was this NPI record last updated?

The NPPES record for John Upegui was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.