MR. KARL JOSEPH HURTUBISE (PA) – Surgical Physician Assistant, NPI 1770218869

MR. KARL JOSEPH HURTUBISE (PA) is a healthcare provider. based in Portland, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2385 (ME). The NPI Number for MR. KARL JOSEPH HURTUBISE (PA) is 1770218869

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. KARL JOSEPH HURTUBISE (PA)
NPI
1770218869
Phone
(207) 774-6368
Address
887 Congress St Ste 400
Enumeration Date
21 July 2022
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2022 (4 years ago)
PAC ID
1951777242
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20221011001506
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for MR. KARL JOSEPH HURTUBISE (PA)

  • 887 Congress St Ste 400

    Portland, ME 041023163

    Phone: (207) 774-6368

    Fax: (207) 774-9388

    Type: Location

  • 22 LONGVIEW TER

    KENNEBUNK, ME 040436723

    Phone: (207) 408-2410

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-2934

    Fax: (207) 662-6389

    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: 2022-10-11

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
I20221011001506IPhysician 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 04102)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

How is MR. KARL JOSEPH HURTUBISE (PA) identified in CMS data?
CMS-hosted NPPES data lists MR. KARL JOSEPH HURTUBISE (PA) with NPI 1770218869.
Can I rely on MR. KARL JOSEPH HURTUBISE (PA) being an active provider?
As of the registry snapshot, MR. KARL JOSEPH HURTUBISE (PA) is marked active.
What healthcare role does MR. KARL JOSEPH HURTUBISE (PA) hold?
Scheduling teams often label MR. KARL JOSEPH HURTUBISE (PA) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. KARL JOSEPH HURTUBISE (PA) list a practice location?
Patients near Portland, Maine may find MR. KARL JOSEPH HURTUBISE (PA) in results; validate coverage separately.
Why does MR. KARL JOSEPH HURTUBISE (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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