DR. STEPHANIE SINCLAIR MD
NPI 1265695480
Hospitalist in Rumford, ME

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
77.04/100
CMS Quality Rating
430 FRANKLIN ST, RUMFORD, ME 04276(207) 369-0146(207) 364-8626 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephanie Sinclair Md NPPES

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

DR. STEPHANIE SINCLAIR MD (NPI 1265695480) is an individual hospitalist provider in Rumford, Maine, licensed in Massachusetts (1013197) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in Wareham.

NPPES Registry Identity

NPI1265695480
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. STEPHANIE SINCLAIRCredential: MD
Location Address430 FRANKLIN STRumford, ME 04276-2104
Mailing Address430 Franklin StRumford, ME 04276-2104 · (207) 369-0146 · Fax (207) 364-8626
Fax(207) 364-8626
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 8, 2008
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1265695480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MA · 1013197
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
430 FRANKLIN ST, Rumford, ME 04276

Other Names 1

Former Name (1)Dr. Stephanie Lee Youd

Secondary Practice Location 1

Location 143 High StWareham, MA 02571-2097 · Phone (508) 973-5919 · Fax (508) 973-5916

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. Stephanie Sinclair 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 ID941467583
PECOS Enrollment IDI20240117001916
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 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
263 services248 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 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.
22 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04276 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.

77.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers15 claims42 services$6.60 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
430 FRANKLIN ST
RUMFORD, ME 04276
Social Worker
430 FRANKLIN ST
RUMFORD, ME 04276
Social Worker (Clinical)
430 FRANKLIN ST
RUMFORD, ME 04276
Social Worker (Clinical)
430 FRANKLIN ST
RUMFORD, ME 04276
Nurse Practitioner (Obstetrics & Gynecology)
430 FRANKLIN ST
RUMFORD, ME 04276
Family Medicine
430 FRANKLIN ST
RUMFORD, ME 04276
Family Medicine
430 FRANKLIN ST
RUMFORD, ME 04276
Clinic/Center (Rural Health)
430 FRANKLIN ST
RUMFORD, ME 04276

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 Stephanie Sinclair's NPI number?

The NPI number for Stephanie Sinclair is 1265695480. It was assigned to this individual provider in the NPPES registry on July 8, 2008. The provider is also known as Dr. Stephanie Lee Youd.

Where is Stephanie Sinclair located?

Stephanie Sinclair practices at 430 Franklin St, Rumford, ME 04276. The listed phone number is (207) 369-0146.

What is Stephanie Sinclair's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Stephanie Sinclair enrolled in Medicare?

Yes. Stephanie Sinclair 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 Stephanie Sinclair affiliated with any hospitals?

According to CMS data, Stephanie Sinclair is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Stephanie Sinclair was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.