GREGORY GRIFFIN – Physician Assistant, NPI 1356129266

GREGORY GRIFFIN is a healthcare provider. based in Saco, Maine. specializing in PHYSICIAN ASSISTANT. The NPI Number for GREGORY GRIFFIN is 1356129266

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY GRIFFIN
NPI
1356129266
Phone
Not provided
Address
120 MAIN ST APT 307
Enumeration Date
20 September 2023
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076258126
Graduation Year
2024 (2 years ago)
PAC ID
4082151543
Group Practice PAC ID
5597664854
Professional Enrollment ID
I20240801001402
Address ID
ME040683527PO70XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for GREGORY GRIFFIN

  • 120 MAIN ST APT 307

    SACO, ME 040723532

    Phone:

    Type: Mailing

  • 70 MAIN ST

    PORTER, ME 040683527

    Phone: (207) 625-8126

    Type: Location

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: 2024-08-01

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
I20240801001402IPhysician AssistantMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04072)

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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: 5597664854View full group profile
NameSpecialtyState
Nurse PractitionerME
Nurse PractitionerME
Physician AssistantME
Nurse PractitionerME
-ME
-ME
Physician AssistantME
P S Y C H I A T R YME
-ME
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Is there an official ID for GREGORY GRIFFIN in U.S. healthcare records?
The official identifier for GREGORY GRIFFIN is NPI 1356129266.
Is GREGORY GRIFFIN still an active registrant?
GREGORY GRIFFIN carries an active NPI according to the public dataset.
What clinical focus is listed for GREGORY GRIFFIN?
At a glance, GREGORY GRIFFIN is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is GREGORY GRIFFIN associated with Saco?
Public fields place GREGORY GRIFFIN around Saco, Maine. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for GREGORY GRIFFIN is noted as September 20, 2023 where the registry provides it.

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