Doctor profile · Federal record

Dr. Jacob Soucy, PA-S

Student in an Organized Health Care Education/Training Program · Portland, ME

  • NPI 1891359295
  • MIPS 74.3 / 100 · 2023
  • 7 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
716 Stevens Ave
Portland, ME 041032693
(297) 283-0171

Credentials & registration

NPPES · NUCC
NPI registered
May 2019 — 7 yrs on file
Specialty taxonomy
390200000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1891359295. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
35
Distinct HCPCS
1
Medicare allowed
$1,855
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 35 35 $53

In context: peer comparison

Among 6 peers in Portland Student in an Organized Health Care Education/Training Program, average services per provider: 120. This provider delivers 0.3× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$27
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
W. L. Gore & Associates, INC. 1 $27.10

By nature of payment

Food and Beverage
$27

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
32
Patients
0
Total drug cost
$933
Drug Type Claims Patients Total cost
Clopidogrel (Clopidogrel Bisulfate) Brand 32 0 $933

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacob Soucy's medical specialty?
Dr. Jacob Soucy practices Student in an Organized Health Care Education/Training Program in Portland, ME.
Where does Dr. Jacob Soucy practice?
Dr. Jacob Soucy practices at 716 Stevens Ave, Portland, ME 041032693. Office phone: 2972830171.
What is Dr. Jacob Soucy's NPI?
Dr. Jacob Soucy's National Provider Identifier (NPI) is 1891359295, issued by NPPES.
What procedures does Dr. Jacob Soucy commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.