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MATTHEW J. TOOHEY MD
NPI 1861669376
Pediatrics in Brunswick, ME

Active since May 14, 2008PECOS Enrolled
114 BATH RD, BRUNSWICK, ME 04011(207) 798-4400(207) 798-4452 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2021, Sep 18, 2020, May 31, 2019 (3 updates tracked since 2019).

About Matthew J. Toohey Md NPPES

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

MATTHEW J. TOOHEY MD (NPI 1861669376) is an individual pediatrics provider in Brunswick, Maine, licensed in Maine (MD22785) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861669376
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW J. TOOHEYCredential: MD
Location Address114 BATH RDBrunswick, ME 04011-2606
Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888 · Fax (207) 828-7850
Phone(207) 798-4400
Fax(207) 798-4452
Sole ProprietorNo
Enumeration DateMay 14, 2008
Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1861669376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · MD22785
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
114 BATH RD, Brunswick, ME 04011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew J. Toohey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Matthew Toohey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martin's Point Health Care, Inc.
22 mi
Family Medicine
331 VERANDA ST
Portland, ME 04104
  • Reassigned Medicare billing, Maine enrollment
  • 153 clinicians in this Medicare group
NPI 1366474611 (207) 791-3888
Portland Community Health Center
23 mi
Federally Qualified Health Center (FQHC)
196 ALLEN AVE
Portland, ME 04103
  • Reassigned Medicare billing, Maine enrollment
  • 65 clinicians in this Medicare group
NPI 1184178246 (207) 842-4693
Mercy Hospital
25 mi
General Acute Care Hospital
195 FORE RIVER PKWY, SUITE 300
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 clinicians in this Medicare group
NPI 1427313048 (207) 879-3601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

PAMELA GARDINER MD
Family Medicine
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 798-4400
DR. SARAH KATRINA SEDNEY M.D.
Pediatrics
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 798-4400
ELIZABETH BELBRUNO HIGGINS FNP-C
Nurse Practitioner (Family)
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 798-4400
SARAH WHITE DO
Family Medicine
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 798-4400
GEORGE MCGEE NP
Nurse Practitioner (Family)
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 798-4400
PAULINE KAREN MILLS MD
Pediatrics
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 798-4400
HILLARY JACKSON BENUCK DPT
Physical Therapist
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 884-8923
DR. ROY NAKAMURA MD
Family Medicine
114 BATH RD
BRUNSWICK, ME 04011
Cumberland County (207) 798-4400

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 Toohey's NPI number?

The NPI number for Matthew Toohey is 1861669376. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Matthew Toohey located?

Matthew Toohey practices at 114 Bath Rd, Brunswick, ME 04011. The listed phone number is (207) 798-4400.

What is Matthew Toohey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Toohey enrolled in Medicare?

Yes. Matthew Toohey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Toohey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Toohey reassigns Medicare benefits to 3 organizations: Martin's Point Health Care, Inc. (Portland, ME), Portland Community Health Center (Portland, ME) and Mercy Hospital (Portland, 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 Toohey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Toohey accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Matthew Toohey 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.

When was this NPI record last updated?

The NPPES record for Matthew Toohey was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.