DR. ANDREW POWELL M.D.
NPI 1902832751
Emergency Medicine in Sanford, ME

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating

NPPES record last updated: April 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Andrew Powell M.d. NPPES

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

DR. ANDREW POWELL M.D. (NPI 1902832751) is an individual emergency medicine provider in Sanford, Maine, licensed in Maine (MD17213) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Indiana University School Of Medicine (2003).

NPPES Registry Identity

NPI1902832751
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANDREW POWELLCredential: M.D.
Location Address25 JUNE STSanford, ME 04073-2621
Mailing Address25 June StSanford, ME 04073-2621 · (207) 490-7450
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2003
Enumeration DateJune 23, 2006
Last NPPES UpdateApril 13, 2013
✔ NPI 1902832751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ME · MD17213✔ Licensed in PA · MD427442✔ Licensed in NH · 14432
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
25 JUNE ST, Sanford, ME 04073

Other Identifiers 8

Medicaid30208814NH
Medicaid434379099ME
OtherAA154448Harvard Pilgrim
Medicaid110084253AMA
Medicare PIN001198002NH
Other1902832751NH · Anthem Bcbs
Medicare UPINI64558ME
Medicare PIN001198001NH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Powell M.d. 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 ID4183637606
PECOS Enrollment IDI20061121000095
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

2

Medicare enrollment records show Andrew Powell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
2 BERRY CT
Kennebunk, ME 04043
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services27 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 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 04073 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.

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.

Emergency Medicine
25 JUNE ST
SANFORD, ME 04073
Dietitian, Registered
25 JUNE ST
SANFORD, ME 04073
Nurse Practitioner (Psychiatric/Mental Health)
25 JUNE ST
SANFORD, ME 04073
Counselor (Mental Health)
25 JUNE ST
SANFORD, ME 04073
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
Physician Assistant
25 JUNE ST
SANFORD, ME 04073
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
Nurse Anesthetist, Certified Registered
25 JUNE ST
SANFORD, ME 04073

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 Andrew Powell's NPI number?

The NPI number for Andrew Powell is 1902832751. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Andrew Powell located?

Andrew Powell practices at 25 June St, Sanford, ME 04073. The listed phone number is (207) 490-7450.

What is Andrew Powell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Powell enrolled in Medicare?

Yes. Andrew Powell 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.

Which organizations bill Medicare for Andrew Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Powell reassigns Medicare benefits to 2 organizations: Webber Hospital Association (Kennebunk, ME) and Mainehealth (Biddeford, 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 Andrew Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Powell accept?

Health plans from Taro Health list Andrew Powell 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 Andrew Powell affiliated with any hospitals?

According to CMS data, Andrew Powell is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Powell was last updated on April 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.