KRISTEN ALYSE SCOPAZ (MD) – Family Medicine Physician, NPI 1114171857

KRISTEN ALYSE SCOPAZ (MD) is a healthcare provider. based in Scarborough, Maine. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. MD19333 (ME). The NPI Number for KRISTEN ALYSE SCOPAZ (MD) is 1114171857

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN ALYSE SCOPAZ (MD)
NPI
1114171857
Phone
(207) 396-8600
Address
301C US ROUTE 1
Enumeration Date
7 November 2008
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078851333
Graduation Year
2008 (18 years ago)
PAC ID
6305097825
Group Practice PAC ID
6800206996
Professional Enrollment ID
I20121109000505
Address ID
ME040749570SC20XXXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

886 FAMILY PRACTICE in ME

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Provider Addresses for KRISTEN ALYSE SCOPAZ (MD)

  • Route 1, Oak Hill, Cumberland County, Maine, 04074, United States

    SCARBOROUGH, ME 040749701

    Phone: (207) 396-8600

    Fax: (207) 396-8632

    Type: Mailing

  • 96, Campus Drive, Cumberland County, Maine, 04074, United States

    SUITE 2C

    SCARBOROUGH, ME 040747163

    Phone: (207) 883-7926

    Fax: (207) 883-1925

    Type: Location

  • 20 MUSSEY RD

    SCARBOROUGH, ME 040749570

    Phone: (207) 885-1333

    Fax: (207) 885-1332

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121109000505IFamily PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6752$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
99215Established patient office or other outpatient visit, 40-54 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 04074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800206996View full group profile
NameSpecialtyState
Family PracticeME

Reviews

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Frequently asked questions

What is the standard ID for KRISTEN ALYSE SCOPAZ (MD) in the U.S.?
In the U.S., KRISTEN ALYSE SCOPAZ (MD) is identified by NPI 1114171857.
Quick check: is KRISTEN ALYSE SCOPAZ (MD) active?
Public NPPES data shows KRISTEN ALYSE SCOPAZ (MD) with an active NPI status right now.
What services align with KRISTEN ALYSE SCOPAZ (MD)'s listing?
KRISTEN ALYSE SCOPAZ (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KRISTEN ALYSE SCOPAZ (MD) tied to Scarborough, Maine?
If you are local to Scarborough, Maine, KRISTEN ALYSE SCOPAZ (MD) may be relevant to your search.
Who maintains KRISTEN ALYSE SCOPAZ (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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