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STEPHANIE G BARTHOLOMEW MD
NPI 1033185988
Family Medicine in Fairfield, ME

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
4 SHERIDAN RD, FAIRFIELD, ME 04937(207) 861-5559(207) 861-5082 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie G Bartholomew Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE G BARTHOLOMEW MD (NPI 1033185988) is an individual family medicine provider in Fairfield, Maine, licensed in Maine (015469) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (1997).

NPPES Registry Identity

NPI1033185988
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE G BARTHOLOMEWCredential: MD
Location Address4 SHERIDAN RDFairfield, ME 04937-3314
Mailing Address4 Sheridan RdFairfield, ME 04937-3314 · (207) 861-5559 · Fax (207) 861-5082
Phone(207) 861-5559
Fax(207) 861-5082
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1997
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMay 26, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1033185988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · 015469
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4 SHERIDAN RD, Fairfield, ME 04937
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Calkins Md

Other Identifiers 1

Medicaid332360099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie G Bartholomew Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668499161
PECOS Enrollment IDI20051024001019
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04937 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$6.34 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers13 claims722 services$0.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$26.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA P ROBERTS PA
Physician Assistant
4 SHERIDAN RD
FAIRFIELD, ME 04937
Somerset County (207) 861-5559
DR. ERIN ELIZABETH LICHTENSTEIN MD
Ophthalmology
4 SHERIDAN RD
FAIRFIELD, ME 04937
Somerset County (207) 872-9564
DR. ARMAND G AUGER MD
Family Medicine
4 SHERIDAN RD
FAIRFIELD, ME 04937
Somerset County (207) 453-3100
TOBY OSTROV PA
Physician Assistant
4 SHERIDAN RD
FAIRFIELD, ME 04937
Somerset County (207) 453-3100
KARREN S SEELY MD
Family Medicine
4 SHERIDAN RD
FAIRFIELD, ME 04937
Somerset County (207) 453-3000
ANDREW C RICE MD
Family Medicine
4 SHERIDAN RD, MAINE DARTMOUTH FAMILY PRACTICE
FAIRFIELD, ME 04937
Somerset County (207) 861-5000
MEGAN J BARKER MD
Family Medicine
4 SHERIDAN RD
FAIRFIELD, ME 04937
Somerset County (207) 861-5000
XIAOQING LI MD
Family Medicine
4 SHERIDAN RD
FAIRFIELD, ME 04937
Somerset County (207) 861-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Bartholomew's NPI number?

The NPI number for Stephanie Bartholomew is 1033185988. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Stephanie Calkins MD.

Where is Stephanie Bartholomew located?

Stephanie Bartholomew practices at 4 Sheridan Rd, Fairfield, ME 04937. The listed phone number is (207) 861-5559.

What is Stephanie Bartholomew's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephanie Bartholomew enrolled in Medicare?

Yes. Stephanie Bartholomew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Bartholomew accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephanie Bartholomew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephanie Bartholomew affiliated with any hospitals?

According to CMS data, Stephanie Bartholomew is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Bartholomew was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.