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STEPHEN R HAYES M.D.
NPI 1255369575
Internal Medicine in Westbrook, ME

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
1 HARNOIS AVE, WESTBROOK, ME 04092(207) 662-1340(207) 662-1341 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen R Hayes M.d. NPPES

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

STEPHEN R HAYES M.D. (NPI 1255369575) is an individual internal medicine provider in Westbrook, Maine, licensed in Maine (MD13861) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1984).

NPPES Registry Identity

NPI1255369575
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHEN R HAYESCredential: M.D.
Location Address1 HARNOIS AVEWestbrook, ME 04092-4394
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Phone(207) 662-1340
Fax(207) 662-1341
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1984
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 5, 2012
✔ NPI 1255369575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD13861
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 HARNOIS AVE, Westbrook, ME 04092
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Other Identifiers 9

Medicare UPINB72339ME
Medicare PINMM543803ME
Medicare PIN110115473ME
Medicare PINMM543801ME
Medicare PINMM543802ME
Medicare PINMM543804ME
Medicaid288890099ME
Medicare PINMM5438ME
Medicare PINP00928557ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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 R Hayes M.d. 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 ID9133156276
PECOS Enrollment IDI20050720000972
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 3

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.
215 services119 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
89 services89 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.
31 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04092 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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers35 claims119 services$6.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims19 services$1.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$191.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELLIS A JOHNSON MD
Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1340
JENNIFER K DEANE FNP
Nurse Practitioner (Family)
1 HARNOIS AVE, 2ND FLOOR
WESTBROOK, ME 04092
Cumberland County (207) 661-3400
LUCY MORGAN AMORY MD
Pediatrics
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1360
MARIA ROTHAUPT
Social Worker (Clinical)
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 661-3400
KRISTIN PARRIS MD
Internal Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1340
MIKAYLA CHASE APRN-FNP
Nurse Practitioner (Family)
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 662-1340
BRIGITTE SALEMBIER D.O.
Family Medicine
1 HARNOIS AVE, SUITE 2A
WESTBROOK, ME 04092
Cumberland County (207) 661-3400
DR. MARC DANIEL KIMBALL M.D.
Family Medicine
1 HARNOIS AVE
WESTBROOK, ME 04092
Cumberland County (207) 661-3400

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 Hayes's NPI number?

The NPI number for Stephen Hayes is 1255369575. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Stephen Hayes located?

Stephen Hayes practices at 1 Harnois Ave, Westbrook, ME 04092. The listed phone number is (207) 662-1340.

What is Stephen Hayes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephen Hayes enrolled in Medicare?

Yes. Stephen Hayes 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 Hayes accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Stephen Hayes 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 Hayes affiliated with any hospitals?

According to CMS data, Stephen Hayes is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Hayes was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.