Timothy M Grace , PA
Physician Assistant โข Lewiston, ME
300 Main St
Lewiston, ME 042407027
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on August 30, 2006; this date does not establish years in practice.
-
Published CMS data list 130 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Published rows only; this is not a quality measure.
-
Published Part B service records, 2019:
- 99284 โ Emergency department visit with moderate level of medical decision making: 43 service units.
- 99283 โ Emergency department visit with low level of medical decision making: 38 service units.
- 99282 โ Emergency department visit with straightforward medical decision making: 31 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 46 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Published rows only; this is not a quality measure.
-
Published Part D records, 2019:
- Amlodipine Besylate โ 12 prescription fills, including refills.
- Omeprazole โ 12 prescription fills, including refills.
- Lisinopril โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Medicare Part B services went from 257 in 2017 to 130 in 2019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2019.
Practice Location & Contact Primary Location
300 Main St
Lewiston, ME 042407027
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Belfast, ME; Rockport, ME. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 3 distinct group names: Bridgton Hospital; Maine Medical Consultants Pc; Pai Participant 7 Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2001
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $9,747 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
Paid by Medicare
About $7,102 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
30-day fills
46 standardized 30-day fills in 2019
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$784 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Timothy Grace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Timothy Grace as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lewiston and Maine
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Timothy Grace are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Timothy Grace are from 2019.
38 active clinicians are listed under Physician Assistant with a practice address in Lewiston, ME (979 in Maine).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lewiston
5.3% of these 38 clinicians have the CMS telehealth indicator.
63.2% of these 38 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 49% from 257 in 2017 to 130 in 2019.
- 2017: 257
- 2018: 232
- 2019: 130
-
Medicare-allowed amount
Medicare-allowed amount decreased 47% from $18,227 in 2017 to $9,747 in 2019.
- 2017: $18,227
- 2018: $16,278
- 2019: $9,747
-
Paid by Medicare
Paid by Medicare decreased 47% from $13,332 in 2017 to $7,102 in 2019.
- 2017: $13,332
- 2018: $12,234
- 2019: $7,102
-
Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 45 in 2015 and 46 in 2019.
- 2015: 45
- 2016: 65
- 2017: 70
- 2018: 117
- 2019: 46
-
30-day fills
30-day fills varied from year to year: 45 in 2015 and 46 in 2019.
- 2015: 45
- 2016: 65
- 2017: 70
- 2018: 117
- 2019: 46
-
Part D drug cost
Part D drug cost went from $260 in 2015 to $784 in 2019.
- 2015: $260
- 2016: $332
- 2017: $460
- 2018: $958
- 2019: $784
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99284
Emergency department visit with moderate level of medical decision making
|
43 | 42 | $357.54 | $97.86 |
|
99283
Emergency department visit with low level of medical decision making
|
38 | 38 | $194.92 | $51.21 |
|
99282
Emergency department visit with straightforward medical decision making
|
31 | 31 | $124.27 | $32.22 |
|
99285
Emergency department visit with high level of medical decision making
|
18 | 18 | $505.04 | $144.15 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 12 | 360 | $130.43 | โ |
| Omeprazole | Omeprazole | 12 | 360 | $420.86 | โ |
| Lisinopril | Lisinopril | 11 | 330 | $110.06 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 11 | 330 | $122.28 | โ |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-02-25NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20040316000209
ME
2860382892
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Bridgton Hospital
10 Hospital Dr, Bridgton, ME 040091148
Phone: 2076476000
Pai Participant 7 Pc
367 Us Route 1, Falmouth, ME 041051352
Phone: 2079621200
Maine Medical Consultants Pc
335 Brighton Ave, Portland, ME 041022363
Phone: 2075188869
Secondary Practice Locations
6 Glen Cove Dr
Rockport, ME 048564272
Phone: 2073018542
118 Northport Ave
Belfast, ME 049156009
Phone: 2073382500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Advanced Practice Midwife
Certified Nurse Midwife
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: ME PA735)
NPI status registered as active in NPPES database
Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)
Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)
Recorded as TIMOTHY GRACE, PA
Physician Assistant (license number reported to NPPES: ME PA735)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Lewiston
- Elizabeth Harlow
- Timothy Kelly, PA-C
- Jamie Dufour, PA
- Cheryl Sherman, PA-C
- Joseph Sala
- Nicolette Caron, PA
Mailing Address
300 Main St
Lewiston, ME 042407027
Phone: 2077950111