DR. MALCOLM CREIGHTON-SMITH MD
NPI 1881041556
Dermatology in Portland, ME

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1601 CONGRESS ST, PORTLAND, ME 04102(207) 661-0100(207) 661-8866 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Apr 16, 2020, May 9, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Malcolm Creighton-smith Md NPPES

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

DR. MALCOLM CREIGHTON-SMITH MD (NPI 1881041556) is an individual dermatology provider in Portland, Maine, licensed in Maine (MD24924) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881041556
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MALCOLM CREIGHTON-SMITHCredential: MD
Location Address1601 CONGRESS STPortland, ME 04102-2102
Mailing Address1601 Congress StPortland, ME 04102-2102 · (207) 661-0100 · Fax (207) 661-8866
Fax(207) 661-8866
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateMay 23, 2016
Last NPPES UpdateMarch 31, 20254 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
NPI 1881041556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in ME · MD24924 Licensed in CT · 1881041556
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1601 CONGRESS ST, Portland, ME 04102

Secondary Practice Locations 2

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-2911 · Fax (207) 662-6006
Location 22 Livewell DrKennebunk, ME 04043-6762 · Phone (207) 467-8800 · Fax (207) 467-8801

Accepted Insurance

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

Dr. Malcolm Creighton-smith 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 ID3274820048
PECOS Enrollment IDI20220131000126
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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
206 services43 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.
97 services73 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.
96 services67 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
73 services56 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
63 services51 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
57 services56 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.

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

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.

Speech-Language Pathologist
1601 CONGRESS ST
PORTLAND, ME 04102
Orthopaedic Surgery
1601 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant
1601 CONGRESS ST
PORTLAND, ME 04102
Dermatology
1601 CONGRESS ST
PORTLAND, ME 04102
Speech-Language Pathologist
1601 CONGRESS ST
PORTLAND, ME 04102
Clinic/Center (Rehabilitation)
1601 CONGRESS ST
PORTLAND, ME 04102
Orthopaedic Surgery (Sports Medicine)
1601 CONGRESS ST
PORTLAND, ME 04102
Dentist (General Practice)
1601 CONGRESS ST
PORTLAND, ME 04102

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 Malcolm Creighton-smith's NPI number?

The NPI number for Malcolm Creighton-smith is 1881041556. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Malcolm Creighton-smith located?

Malcolm Creighton-smith practices at 1601 Congress St, Portland, ME 04102. The listed phone number is (207) 661-0100.

What is Malcolm Creighton-smith's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Malcolm Creighton-smith enrolled in Medicare?

Yes. Malcolm Creighton-smith 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.

What insurance does Malcolm Creighton-smith accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Malcolm Creighton-smith 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 Malcolm Creighton-smith affiliated with any hospitals?

According to CMS data, Malcolm Creighton-smith is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Malcolm Creighton-smith was last updated on March 31, 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.