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JESSE D SAMMON D.O.
NPI 1962639062
Urology in South Portland, ME

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106(207) 773-1728(207) 773-8153 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse D Sammon D.o. NPPES

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

JESSE D SAMMON D.O. (NPI 1962639062) is an individual urology provider in South Portland, Maine, licensed in Maine (DO2589) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2009).

NPPES Registry Identity

NPI1962639062
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJESSE D SAMMONCredential: D.O.
Location Address100 BRICKHILL AVESouth Portland, ME 04106-1999
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 773-1728
Fax(207) 773-8153
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateJune 6, 2016
✔ NPI 1962639062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in ME · DO2589
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 BRICKHILL AVE, South Portland, ME 04106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Jesse D Sammon D.o. 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 ID5395977201
PECOS Enrollment IDI20160919001550
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 9

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 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.
83 services71 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
68 services57 patients
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.
36 services36 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.
35 services29 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
26 services26 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
26 services26 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

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$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.

MARY C BRANDES MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 761-1502
MS. MELISSA NYE LIBBY FNP
Nurse Practitioner (Family)
100 BRICKHILL AVE, STE 304
SOUTH PORTLAND, ME 04106
Cumberland County (207) 761-4700
LENOIR G KELLEY MSW-CC
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 874-2141
SYDNEY CHENEY DNP, FNP-BC
Nurse Practitioner (Family)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-1728
ABBY ELIZABETH DAVIS LMT
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Cumberland County (207) 879-7510
JULIE K BROWN LMT
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Cumberland County (207) 879-7510
STEPHEN THOMAS RYAN MD
Urology
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-1728
KRISTEN M ROBINSON
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 775-4101

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 Jesse Sammon's NPI number?

The NPI number for Jesse Sammon is 1962639062. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Jesse Sammon located?

Jesse Sammon practices at 100 Brickhill Ave, South Portland, ME 04106. The listed phone number is (207) 773-1728.

What is Jesse Sammon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jesse Sammon enrolled in Medicare?

Yes. Jesse Sammon 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 Jesse Sammon accept?

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

According to CMS data, Jesse Sammon is affiliated with Maine Medical Center, Mid Coast Hospital, Lincolnhealth and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Sammon was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.