NPIMap

Individual provider Active NPI

Stephen Hubbard, MD

  • Emergency Medicine Physician
  • Antigo, WI
National Provider Identifier
1366434961
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
40458-20 Issued in WI
Practice address
112 E 5TH Ave
Antigo, WI 54409-2710
Phone
(715) 623-2351
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 40458-20 WI Primary
Surgery Physician 208600000X 40458-020 WI
Family Medicine Physician 207Q00000X 40458-020 WI

Addresses

Primary practice location

112 E 5TH Ave
Antigo, WI 54409-2710

Mailing address

PO Box 243
Wild Rose, WI 54984-0243
Phone (920) 622-3257

Other identifiers 1

IdentifierTypeStateIssuer
32482900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040311000344 WI Practitioner - Emergency Medicine 6002705811 Reassigns benefits to 9 organizations
I20151116001289 MI Practitioner - Emergency Medicine 6002705811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Illinois Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Hospital Rd
Eagle River, WI 54521-8835
Phone (715) 479-7411

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
90.06
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40458-20WIMDEmergency Medicine Physician
40458-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine CurrentSince Jan 10, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
Aspirus Eagle River Hospital, Inc. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Dec 31, 2022 Accepting new patients
The Howard Young Medical Center, Inc. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Dec 31, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: shubbard18540@direct.aspirus.org

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 9

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1366434961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549840243",
            "telephone_number": "920-622-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092710",
            "telephone_number": "715-623-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "40458-20",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "40458-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40458-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32482900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antigo, WI

Sources for this page

Verify at the official NPI Registry.