STEPHEN M DONNELLY DO
NPI 1063505782
Pediatrics in Windham, ME
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
Specialties & Licenses
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen M Donnelly Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stephen Donnelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Windham, ME 04062
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1790896876 (Maine), NPI 1134305386 (Maine)
- 49 clinicians in this Medicare group
Windham, ME 04062
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Stephen Donnelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Donnelly reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Windham, ME) and Mainehealth (Windham, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Donnelly accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health 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.
# Stephen M Donnelly, DO · NPI 1063505782
Pediatrics physician in Windham, Maine. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1063505782 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 1581 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 582 ROOSEVELT TRAIL, Windham, ME 04062-4904
- **Phone:** (207) 892-3233 · **Fax:** (207) 893-0752
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maine Medical Partners (NPI 1144245028, Windham, ME); Mainehealth (NPI 1023321593, Windham, ME) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2012
- **Other identifiers:** Medicare PIN MM930802 (ME); Medicare PIN MM930801 (ME); Medicaid 254690099 (ME); and 4 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1063505782) · Data from the CMS NPPES public registry.