DR. KATHRYN ANNE STEFOS MD
NPI 1275160442
Family Medicine in Saco, ME

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
13 INDUSTRIAL PARK RD, SACO, ME 04072(207) 283-8800 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2023, Mar 26, 2020 (2 updates tracked since 2020).

About Dr. Kathryn Anne Stefos Md NPPES

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

DR. KATHRYN ANNE STEFOS MD (NPI 1275160442) is an individual family medicine provider in Saco, Maine, licensed in Maine (MD26922) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Massachusetts Medical School (2020).

NPPES Registry Identity

NPI1275160442
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHRYN ANNE STEFOSCredential: MD
Location Address13 INDUSTRIAL PARK RDSaco, ME 04072-1804
Mailing Address13 Industrial Park RdSaco, ME 04072-1804
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
NPI 1275160442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · MD26922
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13 INDUSTRIAL PARK RD, Saco, ME 04072

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

Dr. Kathryn Anne Stefos 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 ID2567886310
PECOS Enrollment IDI20231023001821
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
90 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
70 services38 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.
45 services45 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.
23 services16 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04072 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
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.

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.

Family Medicine
13 INDUSTRIAL PARK RD
SACO, ME 04072
Family Medicine
13 INDUSTRIAL PARK RD
SACO, ME 04072
Family Medicine
13 INDUSTRIAL PARK RD
SACO, ME 04072
Physician Assistant
13 INDUSTRIAL PARK RD
SACO, ME 04072
Nurse Practitioner
13 INDUSTRIAL PARK RD
SACO, ME 04072
Family Medicine
13 INDUSTRIAL PARK RD
SACO, ME 04072
Family Medicine
13 INDUSTRIAL PARK RD
SACO, ME 04072
Physician Assistant
13 INDUSTRIAL PARK RD
SACO, ME 04072

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 Kathryn Stefos's NPI number?

The NPI number for Kathryn Stefos is 1275160442. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Kathryn Stefos located?

Kathryn Stefos practices at 13 Industrial Park Rd, Saco, ME 04072. The listed phone number is (207) 283-8800.

What is Kathryn Stefos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathryn Stefos enrolled in Medicare?

Yes. Kathryn Stefos 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 Kathryn Stefos accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kathryn Stefos 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 Kathryn Stefos affiliated with any hospitals?

According to CMS data, Kathryn Stefos is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Stefos was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.