STEPHEN DOYLE MD
NPI 1154825719
Emergency Medicine in Newark, DE

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
85.51/100
CMS Quality Rating
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-1000 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Aug 26, 2021, Mar 21, 2018 (3 updates tracked since 2018).

About Stephen Doyle Md NPPES

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

STEPHEN DOYLE MD (NPI 1154825719) is an individual emergency medicine provider in Newark, Delaware, licensed in New York (308666) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154825719
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSTEPHEN DOYLECredential: MD
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2200
Mailing Address601 Elmwood Avenue Box 655Rochester, NY 14642-8655
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
✔ NPI 1154825719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 308666
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 308666 (NY)
4755 OGLETOWN STANTON RD, Newark, DE 19718

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Doyle 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 ID5890040216
PECOS Enrollment IDI20210601001090
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Stephen Doyle reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
191 N MAIN ST
Wellsville, NY 14895
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
Rural
7329 SENECA ROAD NORTH
Hornell, NY 14843
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
General Acute Care Hospital
111 CLARA BARTON ST
Dansville, NY 14437
  • Reassigned Medicare billing, New York enrollment
  • 275 clinicians in this Medicare group
General Acute Care Hospital
350 PARRISH ST
Canandaigua, NY 14424
  • Reassigned Medicare billing, New York enrollment
  • 347 clinicians in this Medicare group
Emergency Care
601 ELMWOOD AVE, BOX 655
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
Multi-Specialty
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 124 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
205 services197 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services84 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

85.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.96
Promoting Interoperability100
Improvement Activities40
Cost59.35

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.

Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718

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 Doyle's NPI number?

The NPI number for Stephen Doyle is 1154825719. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Stephen Doyle located?

Stephen Doyle practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1000.

What is Stephen Doyle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stephen Doyle enrolled in Medicare?

Yes. Stephen Doyle 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.

Which organizations bill Medicare for Stephen Doyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Doyle reassigns Medicare benefits to 6 organizations: The Memorial Hospital Of William F. And Gertrude F. Jones, Inc. (Wellsville, NY), St James Hospital (Hornell, NY), Nicholas H. Noyes Memorial Hospital (Dansville, NY), The Frederick Ferris Thompson Hospital (Canandaigua, NY), Emergency Associates - University Of Rochester (Rochester, NY) and 1 more organization, listed in the Medicare section above. 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 Doyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stephen Doyle affiliated with any hospitals?

According to CMS data, Stephen Doyle is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Doyle was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.