Amy Boutselis, PA-C
NPI 1396467122 · Surgical Physician Assistant · Portland, ME
Provider details
- NPI number
- 1396467122
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA2604 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
225 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 80 | $138 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 56 | $106 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 26 | $16 |
| Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep)87880 | 24 | $16 |
| Automated Urinalysis Test81003 | 14 | $2 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 13 |
Practice location
Mailing address
Additional practice locations (2)
- 193 Bath RdBrunswick, ME 04011-2607Phone: (207) 424-2272Fax: (207) 424-2268
- 360 Route 1 Byp Unit 102Portsmouth, NH 03801-7105Phone: (603) 410-6700
Registry dates
- Enumerated
- 2022-09-19
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.