Individual provider Active NPI

Stephanie Payton-Petersen, MD

  • Obstetrics & Gynecology Physician
  • Damascus, MD
National Provider Identifier
1679032668
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D96775 Issued in MD
Practice address
26005 Ridge Rd Ste 200
Damascus, MD 20872-1899
Phone
(443) 889-4612
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D96775 MD Primary

Addresses

Primary practice location

26005 Ridge Rd Ste 200
Damascus, MD 20872-1899

Mailing address

26005 Ridge Rd Ste 200
Damascus, MD 20872-1899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231003000186 MD Practitioner - Obstetrics/Gynecology 0143552794 Reassigns benefits to 2 organizations
I20231003000303 DC Practitioner - Obstetrics/Gynecology 0143552794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simmonds Martin and Helmbrecht LLCGroup PAC ID 7012985492, 23 clinicians
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

11921 Rockville Pike
Suite 400
Rockville, MD 20852-2757
Phone (240) 514-0140

19735 Germantown Rd
Suite 270
Germantown, MD 20874-1214
Phone (301) 444-8350

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1899
Phone (301) 414-2300

555 Quince Orchard Rd
Suite 410
Gaithersburg, MD 20878-1479
Phone (301) 948-3600

77 Thomas Johnson Dr
Suite H
Frederick, MD 21702-4893
Phone (301) 414-2300

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Simmonds, Martin & Helmbrecht, LLC Obstetrics & Gynecology CurrentSince Sep 18, 2023 Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

77 Thomas Johnson Dr
Ste Hj
Frederick, MD 21702

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

77 Thomas Johnson Dr
Ste J
Frederick, MD 21702
Phone (301) 694-8999

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

11921 Rockville Pike
Ste 400
Rockville, MD 20852
Phone (240) 514-0140

Interoperability endpoints

  • Direct secure messaging: stephanie.payton-petersen.1@17360.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1679032668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721899",
            "telephone_number": "443-889-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON-PETERSEN",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D96775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

Verify at the official NPI Registry.