Gordon Hazen, PA
NPI 1689600298 · Physician Assistant · Portland, ME
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gordon Hazen, PA is a Physician Assistant provider in Portland, ME (NPI 1689600298).
Provider details
- NPI number
- 1689600298
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA2928 (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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
13 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) |
|---|---|---|
| Psychiatric Diagnostic Evaluation90791 | 13 | $129 |
Typical Medicare-allowed amounts for these services range $129–$129 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 71 Prospect AveSuite L10Hudson, NY 12534-2907Phone: (518) 697-3555Fax: (518) 697-3558
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Gordon Hazen's NPI number?
- Gordon Hazen's National Provider Identifier (NPI) is 1689600298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gordon Hazen's specialty?
- Gordon Hazen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gordon Hazen located?
- Gordon Hazen's practice location on file with NPPES is 22 Bramhall St, Portland, ME 04102-3134.
- What is Gordon Hazen's phone number?
- The practice phone number listed in the NPPES registry for Gordon Hazen is (207) 662-0111.
- Does Gordon Hazen accept Medicare?
- Gordon Hazen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gordon Hazen's NPI active?
- Yes — Gordon Hazen's NPI (1689600298) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.