STEPHEN THOMAS RYAN MD
NPI 1205198686
Urology in South Portland, ME
About Stephen Thomas Ryan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN THOMAS RYAN MD (NPI 1205198686) is an individual urology provider in South Portland, Maine, licensed in Maine (MD23077) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Brody School Of Medicine At East Carolina University (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Thomas Ryan 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.
Medicare Billing Reassignments
3Medicare enrollment records show Stephen Ryan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Portland, ME 04106
- Reassigned Medicare billing, Maine enrollment
- 203 clinicians in this Medicare group
South Portland, ME 04106
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1346299815 (Maine)
- 3,140 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 248 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 8
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEMid Coast Hospital
Acute Care Hospitals · Brunswick, MEMaine General Medical Center
Acute Care Hospitals · Augusta, MEWaldo County General Hospital
Critical Access Hospitals · Belfast, MEMemorial Hospital, The
Critical Access Hospitals · North Conway, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04106 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH PORTLAND, ME 04106
SOUTH PORTLAND, ME 04106
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 Ryan's NPI number?
The NPI number for Stephen Ryan is 1205198686. It was assigned to this individual provider in the NPPES registry on June 12, 2012.
Where is Stephen Ryan located?
Stephen Ryan practices at 100 Brickhill Ave, South Portland, ME 04106. The listed phone number is (207) 773-1728.
What is Stephen Ryan's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Stephen Ryan enrolled in Medicare?
Yes. Stephen Ryan 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 Ryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Ryan reassigns Medicare benefits to 3 organizations: Maine Medical Partners (South Portland, ME), Mainehealth (South Portland, ME) and Regents Of The University Of California (San Diego, CA). 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 Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Ryan accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Stephen Ryan 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 Ryan affiliated with any hospitals?
According to CMS data, Stephen Ryan is affiliated with Maine Medical Center, Mid Coast Hospital, Maine General Medical Center, Waldo County General Hospital and Memorial Hospital, The.
When was this NPI record last updated?
The NPPES record for Stephen Ryan was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 Thomas Ryan, MD · NPI 1205198686
Urology physician in South Portland, Maine. Individual provider, active in the CMS NPPES registry since June 12, 2012.
## Identity
- **NPI:** 1205198686 (Entity type: Individual)
- **Enumerated:** June 12, 2012
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** MD23077 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 BRICKHILL AVE, South Portland, ME 04106-1999
- **Phone:** (207) 773-1728 · **Fax:** (207) 773-8153
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Maine Medical Partners (NPI 1710215751, South Portland, ME); Mainehealth (NPI 1679887400, South Portland, ME); Regents Of The University Of California (NPI 1740382993, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Brody School Of Medicine At East Carolina University, class of 2012
## Record status
- **NPPES last updated:** July 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1205198686) · Data from the CMS NPPES public registry.