DR. STEPHEN MCHALE MD
NPI 1073968376
Otolaryngology in Saint Paul, MN

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108(651) 241-9700(651) 241-9678 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Mchale Md NPPES

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

DR. STEPHEN MCHALE MD (NPI 1073968376) is an individual otolaryngology provider in Saint Paul, Minnesota, licensed in Minnesota (70008) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Minnesota Medical School (2016).

NPPES Registry Identity

NPI1073968376
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. STEPHEN MCHALECredential: MD
Location Address1021 BANDANA BLVD E STE 100Saint Paul, MN 55108-5109
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Fax(651) 241-9678
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
NPI 1073968376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MN · 70008
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1021 BANDANA BLVD E STE 100, Saint Paul, MN 55108

Accepted 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

Dr. Stephen Mchale 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 ID5193010460
PECOS Enrollment IDI20210831000402
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 11

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 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.
139 services96 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
103 services77 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
88 services70 patients
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.
78 services68 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
68 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients

Hospital Affiliations CMS Care Compare 4

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

River Falls Area Hospital

Critical Access Hospitals · River Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521349
Location1629 E Division StRiver Falls, WI 54022 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55108 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

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

Pharmacist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Pediatrics
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Nurse Practitioner (Family)
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Nurse Practitioner
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Specialist/Technologist (Athletic Trainer)
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Otolaryngology
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Family Medicine
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Internal Medicine
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108

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 Mchale's NPI number?

The NPI number for Stephen Mchale is 1073968376. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Stephen Mchale located?

Stephen Mchale practices at 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108. The listed phone number is (651) 241-9700.

What is Stephen Mchale's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Stephen Mchale enrolled in Medicare?

Yes. Stephen Mchale 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 Stephen Mchale accept?

Health plans from HealthPartners and Medica list Stephen Mchale 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 Stephen Mchale affiliated with any hospitals?

According to CMS data, Stephen Mchale is affiliated with Allina United Hospital, Abbott Northwestern Hospital, St Francis Regional Medical Center and River Falls Area Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Mchale was last updated on October 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.