DR. SETH ADAM STEIN M.D.
NPI 1942444047
Hospitalist in Lewiston, ME

Active since April 21, 2009PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
300 MAIN ST, LEWISTON, ME 04240(207) 795-7575(207) 344-0350 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Seth Adam Stein M.d. NPPES

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

DR. SETH ADAM STEIN M.D. (NPI 1942444047) is an individual hospitalist provider in Lewiston, Maine, licensed in Maine (MD20521) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1942444047
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SETH ADAM STEINCredential: M.D.
Location Address300 MAIN STLewiston, ME 04240-7027
Mailing Address300 Main StLewiston, ME 04240-7027 · (207) 795-0111 · Fax (207) 795-2766
Fax(207) 344-0350
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 21, 2009
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1942444047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in ME · MD20521
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD20521 (ME)
300 MAIN ST, Lewiston, ME 04240

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Seth Adam Stein 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 ID9830336726
PECOS Enrollment IDI20150826000572, I20200512003744
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Seth Stein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
Rural Health
146 WELD ST
Dixfield, ME 04224
  • Reassigned Medicare billing, Maine enrollment
  • 77 clinicians in this Medicare group
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
Specialist
3525 OLENTANGY RIVER RD, SUITE 4330
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 231 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
464 services177 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Rumford Hospital

Critical Access Hospitals · Rumford, ME
OwnershipProprietary
CMS Certification Number201306
Location420 Franklin StreetRumford, ME 04276 · Oxford County
Emergency services

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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
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.

Nurse Anesthetist, Certified Registered
300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240
Physical Therapist
300 MAIN ST
LEWISTON, ME 04240
Speech-Language Pathologist
300 MAIN ST
LEWISTON, ME 04240
Internal Medicine
300 MAIN ST
LEWISTON, ME 04240
Radiology (Diagnostic Radiology)
300 MAIN ST
LEWISTON, ME 04240
Nurse Anesthetist, Certified Registered
300 MAIN ST
LEWISTON, ME 04240
Emergency Medicine
300 MAIN ST
LEWISTON, ME 04240
Internal Medicine
300 MAIN ST
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 Seth Stein's NPI number?

The NPI number for Seth Stein is 1942444047. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Seth Stein located?

Seth Stein practices at 300 Main St, Lewiston, ME 04240. The listed phone number is (207) 795-7575.

What is Seth Stein's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Seth Stein enrolled in Medicare?

Yes. Seth Stein 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.

Which organizations bill Medicare for Seth Stein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Stein reassigns Medicare benefits to 5 organizations: Central Maine Medical Center (Lewiston, ME), Bridgton Hospital (Bridgton, ME), Rumford Community Family Health Center, Inc. (Dixfield, ME), Rumford Hospital (Rumford, ME) and Central Ohio Hospitalists, Inc (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seth Stein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Stein accept?

Health plans from Anthem Blue Cross and Blue Shield list Seth Stein 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 Seth Stein affiliated with any hospitals?

According to CMS data, Seth Stein is affiliated with Central Maine Medical Center and Rumford Hospital.

When was this NPI record last updated?

The NPPES record for Seth Stein was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.