DR. STEPHEN JOSEPH SMALLEY M.D.
NPI 1992787717
Internal Medicine - Cardiovascular Disease in Ashland, WI

Q: What is Stephen Smalley's NPI number?

The NPI number for Stephen Smalley is 1992787717. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Stephen Smalley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Smalley was last updated on October 4, 2021. 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 November 17, 2005PECOS EnrolledAccepts Medicare Assignment

1615 MAPLE LN STE 1, ASHLAND, WI 54806(715) 685-7500(651) 254-1603 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2021, Jan 21, 2021, Jul 30, 2019 (3 updates tracked since 2019).

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About Dr. Stephen Joseph Smalley M.d. NPPES

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

DR. STEPHEN JOSEPH SMALLEY M.D. (NPI 1992787717) is an individual cardiovascular disease provider in Ashland, Wisconsin, licensed in Wisconsin (37768-20) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1993).

NPPES Registry Identity

NPI1992787717

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. STEPHEN JOSEPH SMALLEYCredential: M.D.

Location Address1615 MAPLE LN STE 1Ashland, WI 54806-3630

Mailing Address400 E 3rd StDuluth, MN 55805-1951

Phone(715) 685-7500

Fax(651) 254-1603

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1993

Enumeration DateNovember 17, 2005

Last NPPES UpdateOctober 4, 20213 updates tracked since enumeration

NPPES CertifiedOctober 4, 2021

✔ NPI 1992787717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in WI · 37768-20✔ Licensed in MN · 49050

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1615 MAPLE LN STE 1, Ashland, WI 54806

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and more.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. Stephen Joseph Smalley 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 ID5496768806

PECOS Enrollment IDI20060731000480, I20070320000041

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

Medicare enrollment records show Stephen Smalley reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Duluth Clinic, Ltd

Same address

Multi-Specialty

2101 BEASER AVE, SUITE 1
Ashland, WI 54806

Reassigned Medicare billing, Wisconsin and Minnesota enrollments
Also billed through NPI 1245278936 (Minnesota)
174 clinicians in this Medicare group

NPI 1942434378 (715) 682-8183

St Mary's Hospital Of Superior

38 mi

Rural Health

11134 N STATE ROAD 77
Hayward, WI 54843

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: St Marys Hospital Of Superior
381 clinicians in this Medicare group

NPI 1528518883 (715) 634-5505

St Marys Medical Center

59 mi

General Acute Care Hospital

402 E 2ND ST
Duluth, MN 55805

Reassigned Medicare billing, Minnesota enrollment
179 clinicians in this Medicare group

NPI 1457393035 (218) 786-4000

Amery Regional Medical Center, Inc.

101 mi

Rural Health

550 MARTIN AVE W
Turtle Lake, WI 54889

Reassigned Medicare billing, Wisconsin enrollment
348 clinicians in this Medicare group

NPI 1538384466 (715) 986-4101

St. Croix Regional Medical Center

117 mi

Critical Access

235 STATE ST
Saint Croix Falls, WI 54024

Reassigned Medicare billing, Wisconsin enrollment
453 clinicians in this Medicare group

NPI 1043240922 (715) 483-3221

Westfields Hospital, Inc.

129 mi

Critical Access

535 HOSPITAL ROAD
New Richmond, WI 54017

Reassigned Medicare billing, Wisconsin enrollment
357 clinicians in this Medicare group

NPI 1881640183 (715) 243-2600

Group Health, Inc.

132 mi

Family Medicine

700 RIVARD ST
Somerset, WI 54025

Reassigned Medicare billing, Wisconsin enrollment
232 clinicians in this Medicare group

NPI 1215305412 (715) 247-2060

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 17

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

400 services383 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.

234 services184 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

167 services114 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

151 services151 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

133 services120 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

100 services71 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

95 services95 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

61 services50 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

38 services38 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

37 services37 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

36 services35 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

30 services26 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

20 services20 patients

Ultrasound of heart, follow-up 93308

17 services17 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

16 services13 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

14 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN

OwnershipGovernment - Local

CMS Certification Number240084

Location901 9th Street NorthVirginia, MN 55792 · St. Louis County

Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521329

Location3500 Tower AveSuperior, WI 54880 · Douglas County

Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521336

Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County

Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521359

Location1615 Maple LaneAshland, WI 54806 · Ashland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

ROBERT GORDON LIND MD

Radiology (Diagnostic Radiology)