NPIMap

Individual provider Active NPI

Stephen M Walsh, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bangor, ME
National Provider Identifier
1386690501
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
17389 Issued in ME
Practice address
78 Ridgewood Dr
Bangor, ME 04401-2652
Phone
(207) 307-8901
Fax
(207) 307-8911
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 036115376 IL
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 17389 ME Primary

Addresses

Primary practice location

78 Ridgewood Dr
Bangor, ME 04401-2652

Mailing address

78 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 947-8381

Other identifiers 2

IdentifierTypeStateIssuer
432654299MedicaidME
P00460654OtherRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000497 ME Practitioner - Orthopedic Surgery 7517979529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Down East Orthopedic Assoc PAGroup PAC ID 4284619198, 14 clinicians

Practice addresses (Care Compare)

78 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 947-8381

Hospital & facility affiliations

  • St Joseph Homecare Home health agency, Bangor, ME, CCN 207033
  • Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
  • Community Health & Counseling Services Home health agency, Bangor, ME, CCN 207026
  • Centerwell Home Health Home health agency, Bangor, ME, CCN 207045
  • Amedisys Home Health Home health agency, Bangor, ME, CCN 207075
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
  • Northern Light Blue Hill Memorial Hospital Hospital, Blue Hill, ME, CCN 201300

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.22 of 100Reported as individual
Quality
64.1
Promoting interoperability
93
Improvement activities
40
Cost
82.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement18
Knee replacement55
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036115376ILMDAdult Reconstructive Orthopaedic Surgery Physician
17389MEMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Down East Orthopedic Assoc PA Adult Reconstructive Orthopaedic Surgery CurrentSince Sep 1, 2007 Accepting new patients
Acadia Medical Arts Anesthesia LLC CurrentSince Jan 1, 2009 Accepting new patients
Acadia Medical Arts Ambulatory Surgical Suite Current Accepting new patients
MRH Corp. CurrentSince Aug 31, 2025 Accepting new patients
MRH Corp. CurrentSince Aug 31, 2025 Accepting new patients
Acadia Medical Arts Pain Management LLC PastSince May 11, 2011 Accepting new patients
St. Joseph Hospital Past Accepting new patients
Midwest Orthopaedics at Rush, LLC Past Accepting new patients

Locations

78 Ridgewood Dr
Bangor, ME 04401
Phone (207) 947-0768

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

43 Dwelley Ave
Dovr Foxcroft, ME 04426
Phone (207) 564-4450

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

Interoperability endpoints

  • Direct secure messaging: stephen.walsh.1@24925.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24925/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 10

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1386690501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012652",
            "telephone_number": "207-947-8381",
            "fax_number": "207-947-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012652",
            "telephone_number": "207-307-8901",
            "fax_number": "207-307-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "036115376",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "ME",
            "license": "17389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432654299",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00460654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.