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Deactivated NPI 1891759379 Deactivated / Inactive NPI Male Practitioner

Stephen Thomas Greenleaf , PA-C

Physician Assistant • Scarborough, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Greenleaf has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 13, 2006
NPI Deactivation Date September 18, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Stephen Greenleaf, PA-C was a registered Physician Assistant practicing in Scarborough, ME. Throughout an active medical career spanning 18 years, Stephen Greenleaf provided care at the practice location at 96 CAMPUS DR until profile deactivation on 2024-09-18.

Historical Medicare Part B clinical services included established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

96 Campus Dr
Suite 1

Scarborough, ME 040747163

Telephone 2078859905
Fax 2073965600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Scarborough, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Scarborough, ME (992 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
107 94 $145.00 $65.99
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
99 89 $17.00 $7.14

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA195

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Heidi Roy , FNP

Nurse Practitioner - Family

NPI 1003078080

Family Nurse Practitioner

Dr. Mary Fahrenbach , MD

Internal Medicine - Cardiovascular Disease

NPI 1003858895

Doctor of Medicine (M.D.)

Heather Chase , NP-C

Nurse Practitioner - Family

NPI 1013240571

Nurse Practitioner (Certified)

Dr. Mylan Cohen , MD

Internal Medicine - Cardiovascular Disease

NPI 1023044096

Doctor of Medicine (M.D.)

Julia Schnee , RN

Registered Nurse

NPI 1023951118

Registered Nurse

Madison White , AGACNP

Nurse Practitioner - Acute Care

NPI 1023982725

Adult-Gerontology Acute Care Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated September 18, 2024

Record deactivated on September 18, 2024

NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address April 25, 2017

Registered at 190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 041031073 (Tel: 2076612000)

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Updated Practice Location April 25, 2017

Registered at 96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 040747163 (Tel: 2078859905)

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Provider Name / Credentials Updated April 25, 2017

Recorded as STEPHEN GREENLEAF, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Physician Assistant (License #001000047 in NC)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Physician Assistant (License #PA195 in ME)

NPI Profile Active October 21, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 21, 2016

Registered at 96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 040747163 (Tel: 2078859905)

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Updated Business Mailing Address October 21, 2016

Registered at 300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 041066914 (Tel: 2076612000)

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Provider Name / Credentials Updated October 21, 2016

Recorded as STEPHEN GREENLEAF, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2016

Physician Assistant (License #PA195 in ME)

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Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891759379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2006
Last Update: October 21, 2016
Deactivation Date: September 18, 2024

Mailing Address

300 Southborough Dr, Suite 201

South Portland, ME 041066914

Phone: 2076612000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.