DR. JOHN C SOUTHALL (MD) – Emergency Medicine Physician, NPI 1366541906
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
404 EMERGENCY MEDICINE in ME
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Provider Addresses for DR. JOHN C SOUTHALL (MD)
Blue Hill Memorial Hospital, 57, Water Street, Blue Hill, Hancock County, Maine, 04614, United States
BLUE HILL, ME 04614
Phone: (207) 374-3473
Fax: (207) 374-3989
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-12-15 • Largest payer in this snapshot: CSL Behring ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $20 |
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: 2005-06-06
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050606000477 | I | Emergency Medicine | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 22 | 22 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 22 | 22 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 04614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | VT | |
| - | ME | |
| Nurse Practitioner | PA | |
| - | ME | |
| Family Practice | ME | |
| - | ME | |
| Nurse Practitioner | NY | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME |
Reviews
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