MATTHEW T. JOHNSON PA-C
NPI 1972547404
Physician Assistant - Surgical in Scarborough, ME

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
92 CAMPUS DR, SCARBOROUGH, ME 04074(207) 885-0011 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew T. Johnson Pa-c NPPES

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

MATTHEW T. JOHNSON PA-C (NPI 1972547404) is an individual surgical provider in Scarborough, Maine, licensed in Maine (PA-703) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Belfast.

NPPES Registry Identity

NPI1972547404
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMATTHEW T. JOHNSONCredential: PA-C
Location Address92 CAMPUS DRScarborough, ME 04074-7228
Mailing Address92 Campus DrScarborough, ME 04074-7228 · (207) 885-0011
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
NPI 1972547404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in ME · PA-703
92 CAMPUS DR, Scarborough, ME 04074

Secondary Practice Location 1

Location 1118 Northport AveBelfast, ME 04915-6009 · Phone (207) 338-2500

Other Identifiers 2

Medicaid241390099ME
Medicaid30336259NH

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

Matthew T. Johnson Pa-c 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 ID3274626338
PECOS Enrollment IDI20070905000426
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.

Hospital Affiliations CMS Care Compare 3

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York 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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
92 CAMPUS DR
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology)
92 CAMPUS DR
SCARBOROUGH, ME 04074
Dietitian, Registered
92 CAMPUS DR, STE B
SCARBOROUGH, ME 04074
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
92 CAMPUS DR
SCARBOROUGH, ME 04074
Physician Assistant (Medical)
92 CAMPUS DR
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
92 CAMPUS DR
SCARBOROUGH, ME 04074
Speech-Language Pathologist
92 CAMPUS DR
SCARBOROUGH, ME 04074

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 Matthew Johnson's NPI number?

The NPI number for Matthew Johnson is 1972547404. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Matthew Johnson located?

Matthew Johnson practices at 92 Campus Dr, Scarborough, ME 04074. The listed phone number is (207) 885-0011.

What is Matthew Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Johnson enrolled in Medicare?

Yes. Matthew Johnson 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.

Is Matthew Johnson affiliated with any hospitals?

According to CMS data, Matthew Johnson is affiliated with Maine Medical Center, York Hospital and Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Johnson was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.