STEPHEN E. MAININI MD
NPI 1336242114
Internal Medicine - Pulmonary Disease in Cody, WY

Q: What is Stephen Mainini's NPI number?

The NPI number for Stephen Mainini is 1336242114. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is Stephen Mainini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Mainini was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment

61.17/100

CMS Quality Rating

707 SHERIDAN AVE, CODY, WY 82414(307) 527-7501 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2020, Oct 24, 2019 (2 updates tracked since 2019).

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About Stephen E. Mainini Md NPPES

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

STEPHEN E. MAININI MD (NPI 1336242114) is an individual pulmonary disease provider in Cody, Wyoming, licensed in Wyoming (5225A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Powell Valley Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1336242114

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSTEPHEN E. MAININICredential: MD

Location Address707 SHERIDAN AVECody, WY 82414

Mailing Address707 Sheridan AveCody, WY 82414-3409 · (307) 527-7501

Phone(307) 527-7501

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateSeptember 6, 2006

Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration

NPPES CertifiedOctober 5, 2020

✔ NPI 1336242114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WY · 5225A

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5225A (WY)

707 SHERIDAN AVE, Cody, WY 82414

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Other Identifiers 5

Other314481WY · Wyoming Bcbs

Other925161030920WY · Preferred One Pin

Other314478WY · Bcbs Pin

Other108527100WY · Wy Mdcd Pin

Other0116376MT · Mt Mdcd Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.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 E. Mainini 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 ID8820146939

PECOS Enrollment IDI20100824000656

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.

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

136 services134 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

134 services132 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

129 services129 patients

Hospital Affiliations CMS Care Compare 2

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

Powell Valley Hospital

Critical Access Hospitals · Powell, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531310

Location777 Avenue HPowell, WY 82435 · Park County

Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531312

Location707 Sheridan AvenueCody, WY 82414 · Park County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82414 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

$129.37 typical visit price

range $56.42 – $170.72

Typical copayment $32.34 (range $14.10 – $42.68)

Most-billed visit code 99204

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

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.

61.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.83

Promoting Interoperability

Improvement Activities

Cost

15.41

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers14 claims14 services$41.56 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers36 claims36 services$108.38 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers32 claims90 services$41.76 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers19 claims106 services$21.20 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers24 claims24 services$65.42 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers28 claims28 services$20.85 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.

GREGORY H CROSS II MD

Radiology (Diagnostic Radiology)