Individual provider Active NPI

Thomas E Stauch, MD

  • Orthopaedic Hand Surgery Physician
  • Easton, MD
National Provider Identifier
1366445942
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
D0044388 Issued in MD
Practice address
510 Idlewild Ave
Easton, MD 21601-3824
Phone
(410) 820-8226
Fax
(410) 820-8405
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X D0044388 MD Primary

Addresses

Primary practice location

510 Idlewild Ave
Easton, MD 21601-3824

Mailing address

510 Idlewild Ave
Easton, MD 21601-3824
Phone (410) 820-8226

Other identifiers 2

IdentifierTypeStateIssuer
CF170013OtherCAREFIRST
064071900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20091217000200 MD Practitioner - Orthopedic Surgery 9436177094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Orthopedics, IncGroup PAC ID 8628367885, 29 clinicians

Practice addresses (Care Compare)

510 Idlewild Ave
Suite 200
Easton, MD 21601-3883
Phone 4108208226107

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
71.77
Promoting interoperability
97
Improvement activities
40
Cost
69.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0044388MDMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopedics, Inc. Hand Surgery CurrentSince Jul 1, 2016 Accepting new patients
Shore Orthopedics, Inc CurrentSince Jul 1, 2016 Accepting new patients

Locations

510 Idlewild Ave
Easton, MD 21601
Phone (410) 820-8226

510 Idlewild Ave
Ste 200
Easton, MD 21601
Phone (410) 820-8226

125 Shoreway Dr
Ste 270
Queenstown, MD 21658
Phone (410) 820-8226

Interoperability endpoints

  • Direct secure messaging: tstauch483434@direct.umm.edu
  • Direct secure messaging: thomasstauch@toc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1366445942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUCH",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MD",
            "license": "D0044388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "CF170013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064071900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.