Samuel Gagnon, PA-C
NPI 1407121932ActiveIndividual· Physician Assistant· South Portland, ME
Physician Assistant (PA-C) with Mainehealth, practicing in South Portland, Maine. Their prescriptions cost Medicare Part D more than their services did: $56,403 for 420 claims, against $8,953 paid for services in 2024. Lists Mainehealth Maine Medical Center as a hospital affiliation.
Overview
| NPI | 1407121932 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 16, 2012 |
| Last updated in NPPES | Jun 14, 2021 |
| Certified by provider | Feb 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA1456 | 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 | 30 |
|---|---|
| Services billed | 133 across 8 procedure codes |
| Paid by Medicare | $8,953 |
Part D prescriptions in 2024
| Prescriptions (claims) | 420 · 625 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $56,403 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- MainehealthPortland, ME · 2,633 clinicians
Hospital affiliation
- Mainehealth Maine Medical CenterPortland, 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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