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CARLTON J. SPOTSWOOD PMHNP
NPI 1942973722
Nurse Practitioner - Psychiatric/Mental Health in Turner, ME

Active since July 28, 2021PECOS Enrolled
79.27/100
CMS Quality Rating
8 TIDSWELL RD STE 1A, TURNER, ME 04282(207) 218-0280(207) 501-2592 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carlton J. Spotswood Pmhnp NPPES

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

CARLTON J. SPOTSWOOD PMHNP (NPI 1942973722) is an individual psychiatric/mental health provider in Turner, Maine, licensed in Maine (CNP211185) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1942973722
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCARLTON J. SPOTSWOODCredential: PMHNP
Location Address8 TIDSWELL RD STE 1ATurner, ME 04282-3403
Mailing Address8 Tidswell Rd Ste 1aTurner, ME 04282-3403 · (207) 218-0280 · Fax (207) 501-2592
Phone(207) 218-0280
Fax(207) 501-2592
Sole ProprietorYes
Enumeration DateJuly 28, 2021
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1942973722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · CNP211185
8 TIDSWELL RD STE 1A, Turner, ME 04282
Open in Google Maps ↗

Secondary Practice Location 1

Location 131 College AveLewiston, ME 04240 · Phone (207) 786-6200 · Fax (207) 786-8219

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlton J. Spotswood Pmhnp 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 Reassignment

Medicare enrollment records show Carlton Spotswood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainegeneral Medical Center
24 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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

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.

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.
29 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04282 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
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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 Carlton Spotswood's NPI number?

The NPI number for Carlton Spotswood is 1942973722. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Carlton Spotswood located?

Carlton Spotswood practices at 8 Tidswell Rd Ste 1A, Turner, ME 04282. The listed phone number is (207) 218-0280.

What is Carlton Spotswood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carlton Spotswood enrolled in Medicare?

Yes. Carlton Spotswood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlton Spotswood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlton Spotswood reassigns Medicare benefits to Mainegeneral Medical Center (Augusta, ME). The 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 Carlton Spotswood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlton Spotswood accept?

Health plans from Harvard Pilgrim Health Care list Carlton Spotswood 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 Carlton Spotswood was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.