Samuel Richard Ford
NPI 1265193148ActiveIndividual· Physician Assistant, Surgical· Bangor, ME
Physician Assistant, Surgical with Eastern Maine Medical Center, practicing in Bangor, Maine. 12 Medicare patients in 2024, $846.10 paid; all of their 128 Part D prescriptions were generic. Lists Northern Light Eastern Maine Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1265193148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 4, 2022 |
| Last updated in NPPES | Dec 12, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA2618 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 21 across 7 procedure codes |
| Paid by Medicare | $846.10 |
Part D prescriptions in 2024
| Prescriptions (claims) | 128 · 128 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $503.33 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Eastern Maine Medical CenterBangor, ME · 624 clinicians
Hospital affiliations
- Northern Light Eastern Maine Medical CenterBangor, ME
- Northern Light Maine Coast HospitalEllsworth, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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