Dr Matthew James Hearst, MD - Medicare Otolaryngology in Portland, ME

Dr Matthew James Hearst, MD is a medicare enrolled "Otolaryngology" physician in Portland, Maine. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Mainehealth and his current practice location is 43 Baxter Blvd, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 775-6381.

Dr Matthew James Hearst is licensed to practice in Maine (license number MD17823) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073724381.

Contact Information

Dr Matthew James Hearst, MD
43 Baxter Blvd,
Portland, ME 04101-1823
(207) 775-6381
(207) 775-3378

Map and Direction




Physician's Profile

Full NameDr Matthew James Hearst
GenderMale
SpecialityOtolaryngology
Experience22 Years
Location43 Baxter Blvd, Portland, Maine
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Matthew James Hearst graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1073724381
  • Provider Enumeration Date: 05/25/2007
  • Last Update Date: 10/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375625577
  • Enrollment ID: I20080828000205

Medical Identifiers

Medical identifiers for Dr Matthew James Hearst such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073724381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD17823 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maine Medical CenterPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mainehealth75178605882109

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Matthew James Hearst allows following entities to bill medicare on his behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447354899
PECOS PAC ID: 9335043967
Enrollment ID: O20040330000128
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew James Hearst is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Matthew James Hearst, MD
43 Baxter Blvd,
Portland, ME 04101-1823

Ph: (207) 797-5753
Dr Matthew James Hearst, MD
43 Baxter Blvd,
Portland, ME 04101-1823

Ph: (207) 775-6381

Reviews and Comments


Otolaryngology Doctors in Portland, ME

Christina Marie Mimikos, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Forest Ave Ste 301, Portland, ME 04103
Phone: 207-797-5753    
Christopher B Murry, D.O
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Forest Ave, Suite 301, Portland, ME 04103
Phone: 207-797-5753    Fax: 207-878-1715
Dr. Martha Friberg, D.O.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 43 Baxter Blvd, Portland, ME 04101
Phone: 207-775-6381    Fax: 207-775-3378
Dr. Demetri Antoniou, M.D.,D.M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 15 Sewall St, Portland, ME 04102
Phone: 207-774-1775    Fax: 207-774-3126
Dr. Rebecca Harvey, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Forest Ave, Portland, ME 04103
Phone: 207-797-5753    
Frederick Clapp Roediger, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Forest Ave, Suite 301, Portland, ME 04103
Phone: 207-797-5753    Fax: 207-797-9571

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.