Individual provider Active NPI

Margo Rockwell Stevenson, D.O.

  • Allergy & Immunology Physician
  • Sturbridge, MA
National Provider Identifier
1053755611
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
274393 Issued in MA
Practice address
198 Charlton Rd
Sturbridge, MA 01566-1571
Phone
(774) 452-7200
Fax
(774) 452-7193
NPI assigned
Apr 24, 2013
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 274393 MA Primary
Pediatrics Physician 208000000X 274393 MA

Addresses

Primary practice location

198 Charlton Rd
Sturbridge, MA 01566-1571

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

2377 Boston Rd Ste 1
Wilbraham, MA 01095-1254
Phone (413) 596-4943

Other practice location 2

2 Medical Center Dr
Springfield, MA 01107-1270
Phone (413) 732-1119

Other identifiers 1

IdentifierTypeStateIssuer
110110753AMedicaidMA

Other names 1

  • Margo Elizabeth Rockwell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181012001169 MA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7416183108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of New England, College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

198 Charlton Rd
Sturbridge, MA 01566-1571
Phone (508) 347-9240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Immunology Associates of New England, LLC Allergy & Immunology CurrentSince Oct 1, 2018 Accepting new patients
Umass Memorial Medical Group Inc Pediatrics Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 2, 2023 Accepting new patients

Locations

269 Locust St
Ste 108
Northampton, MA 01062
Phone (413) 586-0769

269 Locust St
Ste 201
Northampton, MA 01062
Phone (413) 584-4010

198 Charlton Rd
Sturbridge, MA 01566
Phone (508) 347-7585

198 Charlton Rd
Ste 2
Sturbridge, MA 01566

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1053755611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CHARLTON RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661571",
            "telephone_number": "774-452-7200",
            "fax_number": "774-452-7193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2377 Boston Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951254",
            "country_code": "US",
            "telephone_number": "413-596-4943",
            "fax_number": "413-596-0170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071270",
            "country_code": "US",
            "telephone_number": "413-732-1119",
            "fax_number": "413-732-5038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "MARGO",
        "middle_name": "ROCKWELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "274393",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "274393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110110753A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "198 Charlton Rd",
            "city": "Sturbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015661571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "ROCKWELL",
            "middle_name": "ELIZABETH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sturbridge, MA

Sources for this page

Verify at the official NPI Registry.