MICHAEL STADNICKI
NPI 1831179803
Family Medicine in Lewiston, ME

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
12 HIGH ST, STE 302, LEWISTON, ME 04240(207) 795-5709(207) 795-5649 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Stadnicki NPPES

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

MICHAEL STADNICKI (NPI 1831179803) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (016038) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1831179803
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL STADNICKI
Location Address12 HIGH ST, STE 302Lewiston, ME 04240-7634
Mailing Address12 High St, Ste 302Lewiston, ME 04240-7634 · (207) 795-5750 · Fax (207) 795-5649
Fax(207) 795-5649
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 18, 2006
Last NPPES UpdateSeptember 15, 2011
NPI 1831179803 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 · 016038
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.

12 HIGH ST, Lewiston, ME 04240

Other Identifiers 3

Medicare UPINH78033ME
Medicaid010211494ME
Medicare ID-Type UnspecifiedMM9830ME

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

Michael Stadnicki 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 ID1456395771
PECOS Enrollment IDI20050616000822
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.

Established patient office or other outpatient visit, 30-39 minutes 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.
81 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

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.

Neurological Surgery
12 HIGH ST, STE 401
LEWISTON, ME 04240
Surgery (Trauma Surgery)
12 HIGH ST, STE 401
LEWISTON, ME 04240
Pediatrics
12 HIGH ST, STE 301
LEWISTON, ME 04240
Nurse Practitioner
12 HIGH ST, STE 301
LEWISTON, ME 04240
Obstetrics & Gynecology
12 HIGH ST, STE 200
LEWISTON, ME 04240
Nurse Practitioner
12 HIGH ST, STE 200
LEWISTON, ME 04240
Nurse Practitioner
12 HIGH ST, STE 400
LEWISTON, ME 04240
Neurological Surgery
12 HIGH ST, STE 401
LEWISTON, ME 04240

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 Michael Stadnicki's NPI number?

The NPI number for Michael Stadnicki is 1831179803. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Michael Stadnicki located?

Michael Stadnicki practices at 12 High St Ste 302, Lewiston, ME 04240. The listed phone number is (207) 795-5709.

What is Michael Stadnicki's specialty?

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

Is Michael Stadnicki enrolled in Medicare?

Yes. Michael Stadnicki 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 Michael Stadnicki accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Stadnicki 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 Michael Stadnicki affiliated with any hospitals?

According to CMS data, Michael Stadnicki is affiliated with Central Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Stadnicki was last updated on September 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.