Amy Santerian Boutselis, PA-C
NPI 1396467122ActiveIndividual· Physician Assistant, Surgical· Portland, ME
Physician Assistant, Surgical (PA-C) with Mainehealth and 1 other group, practicing in Portland, Maine. 155 Medicare patients in 2024, $16,820 paid; nearly all of their 212 Part D prescriptions were generic (93%).
Overview
| NPI | 1396467122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 19, 2022 |
| Last updated in NPPES | Jun 30, 2025 |
| Certified by provider | Jun 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA2604 | ME |
| Physician Assistant | 363A00000X | PA2604 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 155 |
|---|---|
| Services billed | 311 across 40 procedure codes |
| Paid by Medicare | $16,820 |
Part D prescriptions in 2024
| Prescriptions (claims) | 212 · 212 30-day fills |
|---|---|
| Patients | 159 |
| Total drug cost | $2,585 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- MainehealthPortland, ME · 2,633 clinicians
- Convenientmd - Ffs Uc LLCStratham, NH · 392 clinicians
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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