MR. TIMOTHY P CANHAM (PA-C) – Medical Physician Assistant, NPI 1780789057
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
Provider Addresses for MR. TIMOTHY P CANHAM (PA-C)
24 Miles Center Way
Damariscotta, ME 045434067
Phone: (207) 563-4379
Fax: (207) 810-2368
Type: Location
75 Maverick St
Rockland, ME 048412448
Phone: (207) 301-6000
Fax: (207) 800-4144
Type: Location
119 NORTHPORT AVE FL 1
BELFAST, ME 049156069
Phone: (207) 505-4567
Fax: (207) 536-2794
Type: Mailing
360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH, NH 038017105
Phone: (603) 410-6700
Fax: (603) 319-8308
Type: Mailing
543 BROADWAY
BANGOR, ME 044013337
Phone: (207) 922-1300
Type: Location
1599, Pushaw Road, East Bangor, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044021599
Phone: (207) 945-5247
Fax: (207) 907-7079
Type: Mailing
1012, Union Street, Bangor, Penobscot County, Maine, 04401, United States
SUITE 3
BANGOR, ME 044013060
Phone: (207) 945-5247
Fax: (207) 990-1248
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: 2004-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040412000270 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 71046 | X-ray of chest, 2 views | 22 | 21 | $0 |
Insurance plans in this area (ZIP 04543)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ME | |
| Nurse Practitioner | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Cardiovascular Disease (Cardiology) | ME | |
| Endocrinology, Internal Medicine | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Thoracic Surgery | ME | |
| H O S P I T A L I S T | ME | |
| - | NJ |
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