STEPHEN THOMAS RYAN MD
NPI 1205198686
Urology in South Portland, ME

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106(207) 773-1728(207) 773-8153 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2019, Nov 29, 2018 (2 updates tracked since 2018).

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

NPI1205198686
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSTEPHEN THOMAS RYANCredential: MD
Location Address100 BRICKHILL AVESouth Portland, ME 04106-1999
Mailing Address100 Brickhill AveSouth Portland, ME 04106-1999
Fax(207) 773-8153
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2012
Enumeration DateJune 12, 2012
Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration
NPI 1205198686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in ME · MD23077
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 BRICKHILL AVE, South Portland, ME 04106

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

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.

PECOS PAC ID9234409038
PECOS Enrollment IDI20190801000107
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 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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
64 services55 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.
60 services51 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
33 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services25 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
18 services18 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
18 services18 patients

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, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician 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.

New Patient
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 BRICKHILL AVE, STE 304
SOUTH PORTLAND, ME 04106
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Massage Therapist
100 BRICKHILL AVE, SUITE 301
SOUTH PORTLAND, ME 04106
Social Worker
100 BRICKHILL AVE
SOUTH PORTLAND, ME 04106
Physician Assistant
100 BRICKHILL AVE
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.

What insurance does Stephen Ryan accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care 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 with the weekly NPPES data releases published by CMS.