1. Home
  2. Directory
  3. Maine
  4. Lewiston
  5. Internal Medicine
  6. NPI Profile

DR. SEAN D STANHOPE D.O.
NPI 1144511528
Internal Medicine - Rheumatology in Lewiston, ME

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
10 HIGH ST, SUITE 204, LEWISTON, ME 04240(207) 784-1699(207) 784-7554 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sean D Stanhope D.o. NPPES

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

DR. SEAN D STANHOPE D.O. (NPI 1144511528) is an individual rheumatology provider in Lewiston, Maine, licensed in Maine (DO2612) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2011).

NPPES Registry Identity

NPI1144511528
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SEAN D STANHOPECredential: D.O.
Location Address10 HIGH ST, SUITE 204Lewiston, ME 04240-7653
Mailing Address10 High St, Suite 204Lewiston, ME 04240-7653 · (207) 784-1699 · Fax (207) 784-7554
Phone(207) 784-1699
Fax(207) 784-7554
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2011
Enumeration DateApril 20, 2011
Last NPPES UpdateAugust 9, 2016
✔ NPI 1144511528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in ME · DO2612
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
10 HIGH ST, Lewiston, ME 04240
Open in Google Maps ↗

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. Sean D Stanhope D.o. 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 ID2466696893
PECOS Enrollment IDI20161014001398
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.
321 services164 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.
83 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services14 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Rumford Hospital

Critical Access Hospitals · Rumford, ME
OwnershipProprietary
CMS Certification Number201306
Location420 Franklin StreetRumford, ME 04276 · Oxford County
Emergency services

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

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.

SAIQA SHABBIR CHOUDHRY MD
Psychiatry & Neurology (Neurology)
10 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 576-1359
GREGORY D'AUGUSTINE M.D.
Surgery
10 HIGH ST, SUITE 202
LEWISTON, ME 04240
Androscoggin County (207) 784-2903
LEE G KENDALL JR. MD
Internal Medicine (Rheumatology)
10 HIGH ST, STE 204
LEWISTON, ME 04240
Androscoggin County (207) 784-1699
PETER R SIVISKI M.D.
Surgery
10 HIGH ST, SUITE 202
LEWISTON, ME 04240
Androscoggin County (207) 784-2903
DR. JAMIE PAUL LOGGINS MD
Surgery
10 HIGH ST, SUITE 105
LEWISTON, ME 04240
Androscoggin County (207) 795-5710
DR. STEVEN WAYNE BANG D.O.
Surgery
10 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-5710
ASHLEY EDWARDS MS, RD, LD
Dietitian, Registered
10 HIGH ST, SUITE 105
LEWISTON, ME 04240
Androscoggin County (207) 795-5710
LYNN L DUMONT NP
Nurse Practitioner (Family)
10 HIGH ST, STE. 301
LEWISTON, ME 04240
Androscoggin County (207) 795-2310

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 Sean Stanhope's NPI number?

The NPI number for Sean Stanhope is 1144511528. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Sean Stanhope located?

Sean Stanhope practices at 10 High St Suite 204, Lewiston, ME 04240. The listed phone number is (207) 784-1699.

What is Sean Stanhope's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sean Stanhope enrolled in Medicare?

Yes. Sean Stanhope 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.

Is Sean Stanhope affiliated with any hospitals?

According to CMS data, Sean Stanhope is affiliated with Central Maine Medical Center, St Mary's Regional Medical Center, Rumford Hospital, Bridgton Hospital and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sean Stanhope was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.