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DR. STEPHEN JOSEPH PHELAN M.D.
NPI 1326142332
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pawcatuck, CT

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
91 VOLUNTOWN RD, PAWCATUCK, CT 06379(860) 599-5477(860) 865-2389 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Stephen Joseph Phelan M.d. NPPES

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

DR. STEPHEN JOSEPH PHELAN M.D. (NPI 1326142332) is an individual endocrinology, diabetes & metabolism provider in Pawcatuck, Connecticut, licensed in Connecticut (046242) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of University Of Colorado School Of Medicine, Denver (2002).

NPPES Registry Identity

NPI1326142332
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. STEPHEN JOSEPH PHELANCredential: M.D.
Location Address91 VOLUNTOWN RDPawcatuck, CT 06379-1366
Mailing Address91 Voluntown RdPawcatuck, CT 06379-1366 · (860) 599-5477 · Fax (860) 865-2389
Phone(860) 599-5477
Fax(860) 865-2389
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2002
Enumeration DateSeptember 11, 2006
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1326142332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CT · 046242
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 242245-1 (NY), 12629 (NH)
91 VOLUNTOWN RD, Pawcatuck, CT 06379
Open in Google Maps ↗

Other Identifiers 4

Medicare PIND400086225CT
Medicare UPINI29592NH
Medicare ID-Type UnspecifiedPHRE8244NH
Medicare PINU400125774RI

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. Stephen Joseph Phelan 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 ID143262154
PECOS Enrollment IDI20080814000203, I20120516000462
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,680 services47 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.
658 services399 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
326 services155 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
258 services171 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
94 services53 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
94 services57 patients

Hospital Affiliations CMS Care Compare 3

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06379 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
11 suppliers37 claims407 services$18.20 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
11 suppliers39 claims990 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers139 claims543 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers48 claims79 services$1.16 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
6 suppliers79 claims79 services$305.27 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
21 suppliers869 claims886 services$189.03 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 8

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

PAUL NIEDBALA
Nurse Practitioner (Family)
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
MRS. KAREN MARIE MURPHY PHYSICIAN ASSISTANT
Physician Assistant
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
BRENDA LOUISE APPLEGATE M.D.
Family Medicine
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
DR. WILLIAM H KOBER M.D.
Family Medicine
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
DR. LOUIS C IOVINO D.O.
Internal Medicine
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
MRS. ANGELA G MOORE APRN
Nurse Practitioner
91 VOLUNTOWN RD, NEMG YALE NEW HAVEN HOSPITAL
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 995-4778
MRS. KERRY MARIE PHELAN PA-C
Physician Assistant
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
MRS. VERA MARIE BORKOWSKI MS, FNP-C
Nurse Practitioner (Family)
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477

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 Phelan's NPI number?

The NPI number for Stephen Phelan is 1326142332. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Stephen Phelan located?

Stephen Phelan practices at 91 Voluntown Rd, Pawcatuck, CT 06379. The listed phone number is (860) 599-5477.

What is Stephen Phelan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Stephen Phelan enrolled in Medicare?

Yes. Stephen Phelan 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 Stephen Phelan affiliated with any hospitals?

According to CMS data, Stephen Phelan is affiliated with South County Hospital Inc, The Miriam Hospital and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Phelan was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.