DR. STEPHEN D MARSHALL MD
NPI 1427285493
Urology in Laconia, NH

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
724 N MAIN ST, LACONIA, NH 03246(603) 524-5151(314) 367-5016 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stephen D Marshall Md NPPES

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

DR. STEPHEN D MARSHALL MD (NPI 1427285493) is an individual urology provider in Laconia, New Hampshire, licensed in New Hampshire (17016) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1427285493
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. STEPHEN D MARSHALLCredential: MD
Location Address724 N MAIN STLaconia, NH 03246-2742
Mailing AddressPo Box 1327Laconia, NH 03247-1327 · (603) 524-3211 · Fax (603) 527-7038
Fax(314) 367-5016
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
NPI 1427285493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NH · 17016 Licensed in MO · 2014012502
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
724 N MAIN ST, Laconia, NH 03246

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. Stephen D Marshall 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 ID7214151380
PECOS Enrollment IDI20150908000239
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 16

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 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.
292 services252 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.
247 services191 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
145 services115 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
104 services76 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
73 services62 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
46 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Concord Hospital- Franklin

Critical Access Hospitals · Franklin, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301306
Location15 Aiken AvenueFranklin, NH 03235 · Merrimack County
Emergency services

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301311
Location16 Hospital RoadPlymouth, NH 03264 · Grafton County
Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03246 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
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.

Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$4.38 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims490 services$1.81 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers38 claims3,400 services$1.75 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,320 services$6.05 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier21 claims42 services$8.49 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier24 claims48 services$5.21 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.

Dietitian, Registered
724 N MAIN ST
LACONIA, NH 03246
Urology
724 N MAIN ST
LACONIA, NH 03246
Surgery
724 N MAIN ST
LACONIA, NH 03246
Podiatrist
724 N MAIN ST
LACONIA, NH 03246
Clinic/Center (Multi-Specialty)
724 N MAIN ST
LACONIA, NH 03246
Pediatrics
724 N MAIN ST
LACONIA, NH 03246
Obstetrics & Gynecology
724 N MAIN ST
LACONIA, NH 03246
Internal Medicine
724 N MAIN ST
LACONIA, NH 03246

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 Marshall's NPI number?

The NPI number for Stephen Marshall is 1427285493. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Stephen Marshall located?

Stephen Marshall practices at 724 N Main St, Laconia, NH 03246. The listed phone number is (603) 524-5151.

What is Stephen Marshall's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stephen Marshall enrolled in Medicare?

Yes. Stephen Marshall 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 Marshall accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Stephen Marshall 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 Marshall affiliated with any hospitals?

According to CMS data, Stephen Marshall is affiliated with Concord Hospital, Concord Hospital- Laconia, Concord Hospital- Franklin, Speare Memorial Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Marshall was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.