DR. KEVIN ALEXANDER SZTAM MD
NPI 1952420515
Pediatrics - Pediatric Gastroenterology in Portland, ME

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
887 CONGRESS ST, PORTLAND, ME 04102(207) 662-5522(207) 662-5526 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Alexander Sztam Md NPPES

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

DR. KEVIN ALEXANDER SZTAM MD (NPI 1952420515) is an individual pediatric gastroenterology provider in Portland, Maine, licensed in Maine (MD21195) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1952420515
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. KEVIN ALEXANDER SZTAMCredential: MD
Location Address887 CONGRESS STPortland, ME 04102-3100
Mailing Address887 Congress StPortland, ME 04102-3100 · (207) 662-5522 · Fax (207) 662-5526
Fax(207) 662-5526
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1952420515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses Licensed in ME · MD21195 Licensed in MA · 237450
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
887 CONGRESS ST, Portland, ME 04102

Secondary Practice Location 1

Location 1300 Longwood Ave, Childrens Hospital Boston - Hunnewell GroundBoston, MA 02115-5724 · Phone (617) 355-6177

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. Kevin Alexander Sztam 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 ID3971669466
PECOS Enrollment IDI20160929001024
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 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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services11 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
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.

Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102
Pediatrics (Pediatric Gastroenterology)
887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Surgery
887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102
Pediatrics (Pediatric Nephrology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Obstetrics & Gynecology (Maternal & Fetal Medicine)
887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
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 Kevin Sztam's NPI number?

The NPI number for Kevin Sztam is 1952420515. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kevin Sztam located?

Kevin Sztam practices at 887 Congress St, Portland, ME 04102. The listed phone number is (207) 662-5522.

What is Kevin Sztam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Kevin Sztam enrolled in Medicare?

Yes. Kevin Sztam 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 Kevin Sztam accept?

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

According to CMS data, Kevin Sztam is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Sztam was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.