Michael Patrick Staebler, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD09775 Issued in RI

Practice address

345 Valley Rd
Middletown, RI 02842-5236

Phone

(401) 842-0555

Fax

(401) 847-5450

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Warren Alpert Medical School of Brown University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Home and Hospice Home health agency, Middleton, RI, CCN 417000
• Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
• Newport Hospital Hospital, Newport, RI, CCN 410006

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

66.76

Promoting interoperability

96

Improvement activities

40

Cost

77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.staebler.1@13709.direct.athenahealth.com

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.

• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Providence, RI
  • NPI 1235181041
  Medicare reassignment Care Compare group
• Connecticut Orthopaedic and Hand Surgery Center, P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Willimantic, CT
  • NPI 1194773382
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newport Hospital

  • General Acute Care Hospital
  • Newport, RI
  • NPI 1457346413
  Care Compare affiliation
• Tender Loving Care Health Care Services of New England, LLC

  • Home Health Agency
  • Warwick, RI
  • NPI 1770537854
  Care Compare affiliation
• Visiting Nurse Services of Newport and Bristol Counties

  • Nursing Care Agency
  • Middletown, RI
  • NPI 1972587699

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1912064296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029011119",
            "telephone_number": "401-842-0555",
            "fax_number": "401-847-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425236",
            "telephone_number": "401-842-0555",
            "fax_number": "401-847-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEBLER",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD09775",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "RI",
            "license": "MD09775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006584",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "201596530",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southcoast Physicians Group, Inc.
• Southcoast Physicians Group, Inc.
• Kiley Anne Souza
• Specs Eyecare Inc
• Jane D Spooner, RN
• Julianne Stapleton, D.A.
• Danielle Starkey, LCSW
• Alexa Rae Steenbruggen, MSN, FNP-C
• Stepping Stone Counseling, LLC
• Michaela Katherine Stern, PT, DPT

• Sports Medicine (Orthopaedic Surgery) Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.