SCOTT A. BUCHANAN M.D.
NPI 1932154135
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, ME

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
818 CONGRESS ST, PORTLAND, ME 04102(207) 773-8161(207) 773-1489 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott A. Buchanan M.d. NPPES

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

SCOTT A. BUCHANAN M.D. (NPI 1932154135) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Portland, Maine, licensed in Maine (MD15638) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Duke University School Of Medicine (1991).

NPPES Registry Identity

NPI1932154135
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameSCOTT A. BUCHANANCredential: M.D.
Location Address818 CONGRESS STPortland, ME 04102-3112
Mailing Address190 Riverside St, Suite 6bPortland, ME 04103-1073 · (207) 661-2000 · Fax (207) 661-2033
Fax(207) 773-1489
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1991
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 24, 2017
NPI 1932154135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in ME · MD15638
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License MD15638 (ME)
818 CONGRESS ST, Portland, ME 04102

Other Identifiers 5

Medicare PINP01042701ME
Medicaid271080099ME
Medicare PINMM894901ME
Medicare UPINF51647ME
Medicare PINMM8949ME

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

Scott A. Buchanan 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 ID6204878697
PECOS Enrollment IDI20050525001042
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 6

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
32 services32 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.
20 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
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

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
65%136 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
99%168 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Acute Care)
818 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant
818 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant
818 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant (Surgical)
818 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant
818 CONGRESS ST
PORTLAND, ME 04102
Nurse Practitioner (Acute Care)
818 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 Scott Buchanan's NPI number?

The NPI number for Scott Buchanan is 1932154135. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Scott Buchanan located?

Scott Buchanan practices at 818 Congress St, Portland, ME 04102. The listed phone number is (207) 773-8161.

What is Scott Buchanan's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Scott Buchanan enrolled in Medicare?

Yes. Scott Buchanan 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 Scott Buchanan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Scott Buchanan 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 Scott Buchanan affiliated with any hospitals?

According to CMS data, Scott Buchanan is affiliated with Maine Medical Center, Mid Coast Hospital, Central Maine Medical Center and Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Buchanan was last updated on April 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.