DR. STEPHEN R GORMAN D.O.
NPI 1811931876
Internal Medicine - Pulmonary Disease in South Portland, ME

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106(207) 828-1122(207) 828-0188 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen R Gorman D.o. NPPES

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

DR. STEPHEN R GORMAN D.O. (NPI 1811931876) is an individual pulmonary disease provider in South Portland, Maine, licensed in Maine (1717) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2000).

NPPES Registry Identity

NPI1811931876
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. STEPHEN R GORMANCredential: D.O.
Location Address100 FODEN ROAD, WEST BUILDING SUITE 103South Portland, ME 04106
Mailing Address100 Foden Road, West Building Suite 103South Portland, ME 04106 · (207) 828-1122 · Fax (207) 828-0188
Fax(207) 828-0188
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2000
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 21, 2010
NPI 1811931876 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 ME · 1717
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 Medicine · Sleep MedicineTaxonomy 207RS0012X · License 1717 (ME)
100 FODEN ROAD, South Portland, ME 04106

Other Identifiers 3

Medicare UPINH67113ME
Medicare PINMM9510ME
Medicaid283650099ME

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 R Gorman D.o. 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 ID4688616428
PECOS Enrollment IDI20050607001265
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.

Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
96 services94 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
78 services73 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
53 services52 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.
27 services17 patients
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.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 18

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
13 suppliers90 claims90 services$38.88 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers46 claims46 services$87.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers49 claims141 services$35.06 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers34 claims195 services$19.53 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers21 claims121 services$15.24 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
10 suppliers60 claims60 services$59.59 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.

Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN ROAD, WEST BUILDING, SUITE 103
SOUTH PORTLAND, ME 04106

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 Gorman's NPI number?

The NPI number for Stephen Gorman is 1811931876. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Stephen Gorman located?

Stephen Gorman practices at 100 Foden Road West Building Suite 103, South Portland, ME 04106. The listed phone number is (207) 828-1122.

What is Stephen Gorman's specialty?

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

Is Stephen Gorman enrolled in Medicare?

Yes. Stephen Gorman 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 Gorman accept?

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

According to CMS data, Stephen Gorman is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Gorman was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.