NPIMap

Individual provider Active NPI

Philip Martin Stegemann, MD

  • Orthopaedic Surgery Physician
  • Buffalo, NY
National Provider Identifier
1467423228
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
154660-1 Issued in NY
Practice address
462 Grider St
Buffalo, NY 14215-3021
Phone
(716) 689-1901
Fax
(716) 689-2238
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 154660-1 NY Primary

Addresses

Primary practice location

462 Grider St
Buffalo, NY 14215-3021

Mailing address

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 689-1901

Other identifiers 1

IdentifierTypeStateIssuer
01079547MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050721000129 NY Practitioner - Orthopedic Surgery 1153358130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
77.6
Promoting interoperability
100
Improvement activities
40
Cost
81.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154660-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Services Inc. Orthopaedic Surgery CurrentSince Mar 1, 2002 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 1, 2005 Accepting new patients
University Orthopaedic Services, Inc Orthopaedic Surgery CurrentSince Mar 1, 2002 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 1, 2005 Accepting new patients

Locations

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: pstegemann@ubortho.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Erie County Medical Center CorporationBuffalo, NY, CCN 330219 Hospital Corporate Director Mar 23, 2023
Erie County Medical Center CorporationBuffalo, NY, CCN 33S219 Hospital Corporate Officer Apr 1, 2023
Erie County Medical Center CorporationBuffalo, NY, CCN 33T219 Hospital Corporate Officer Apr 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1467423228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-689-1901",
            "fax_number": "716-689-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-689-1901",
            "fax_number": "716-689-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEMANN",
        "first_name": "PHILIP",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "154660-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01079547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.