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STEPHEN M DONNELLY DO
NPI 1063505782
Pediatrics in Windham, ME

Active since October 02, 2006PECOS Enrolled
98.06/100
CMS Quality Rating
582 ROOSEVELT TRAIL, WINDHAM, ME 04062(207) 892-3233(207) 893-0752 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen M Donnelly Do NPPES

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

STEPHEN M DONNELLY DO (NPI 1063505782) is an individual pediatrics provider in Windham, Maine, licensed in Maine (1581) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063505782
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTEPHEN M DONNELLYCredential: DO
Location Address582 ROOSEVELT TRAILWindham, ME 04062-4904
Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 892-3233
Fax(207) 893-0752
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 12, 2012
✔ NPI 1063505782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · 1581
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
582 ROOSEVELT TRAIL, Windham, ME 04062
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Other Identifiers 7

Medicare PINMM930802ME
Medicare PINMM930801ME
Medicaid254690099ME
Medicare PINMM9308ME
Medicare PINMM930803ME
Medicare UPINH56812
Medicaid30226080NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen M Donnelly Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04062 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. SCOTT M CHASE D.O.
Family Medicine
582 ROOSEVELT TRAIL
WINDHAM, ME 04062
Cumberland County (207) 892-3233
CHRISTINE R MAHONEY DO
Family Medicine
582 ROOSEVELT TRAIL
WINDHAM, ME 04062
Cumberland County (207) 892-3233

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 Stephen Donnelly's NPI number?

The NPI number for Stephen Donnelly is 1063505782. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Stephen Donnelly located?

Stephen Donnelly practices at 582 Roosevelt Trail, Windham, ME 04062. The listed phone number is (207) 892-3233.

What is Stephen Donnelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephen Donnelly enrolled in Medicare?

Yes. Stephen Donnelly is registered in the Medicare PECOS enrollment system.

What insurance does Stephen Donnelly accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Stephen Donnelly 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.

When was this NPI record last updated?

The NPPES record for Stephen Donnelly was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.