Active NPI 1255369575 Individual Practitioner Male Practitioner

Dr. Stephen R Hayes , MD

Internal Medicine • Westbrook, ME

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Hayes, MD is a certified Internal Medicine practicing in Westbrook, ME. With approximately 42 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1984, Dr. Hayes delivers high-quality medical care to the local community at 1 HARNOIS AVE.

Dr. Hayes is affiliated with Mainehealth and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Harnois Ave

Westbrook, ME 040924394

Telephone 2076621340

Fax 2076621341

Associated Practice Facility / Clinic

🏢 Maine Medical Partners Facility NPI 1790896876

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Westbrook, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +14.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Westbrook, ME (620 Statewide)

Telehealth Adoption Rate

53.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hayes (42 Years) 42 Yrs

Westbrook Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	215	119	$206.70	$71.63
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	134	81	$35.00	$15.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$271.67	$43.09
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$137.16	$66.22

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	199	119	$176.64	$76.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$265.05	$47.81
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$121.15	$62.03

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	201	138	$168.53	$79.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$263.00	$55.56
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$111.81	$67.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	15	$20.00	$8.19

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	206	120	$166.90	$75.73
99213 Established patient office or other outpatient visit, typically 15 minutes	146	99	$109.22	$64.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$258.26	$53.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	17	$19.30	$8.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	206	153	$116.57	$51.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	125	$161.19	$79.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$245.16	$117.75
99442 Telephone medical discussion with physician, 11-20 minutes	33	31	$225.48	$51.55
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$284.00	$79.30

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	389	189	$149.35	$78.54
93793 Anticoagulant management of patient taking warfarin	217	22	$24.16	$12.13
99213 Established patient office or other outpatient visit, typically 15 minutes	199	148	$98.07	$50.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$233.16	$117.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$349.55	$172.46
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$72.54	$51.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$17.27	$8.53

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	360	199	$145.31	$77.72
99213 Established patient office or other outpatient visit, typically 15 minutes	174	134	$94.00	$50.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	34	$145.00	$71.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$231.00	$116.03
99238 Hospital discharge day management, 30 minutes or less	19	19	$146.00	$72.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$17.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$63.81	$50.72

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	401	210	$115.47	$77.19
99213 Established patient office or other outpatient visit, typically 15 minutes	203	159	$71.43	$50.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	42	$145.00	$71.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$231.00	$114.56
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	30	$17.00	$8.38
99238 Hospital discharge day management, 30 minutes or less	23	23	$146.00	$71.60
99495 Transitional care management services for problem of at least moderate complexity	15	13	$159.00	$108.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$104.55	$75.07

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License ME MD13861

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

288890099 (ME)

Hospital & Practice Group Affiliations

Mainehealth

1 Harnois Ave, Westbrook, ME 040924395

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Mainehealth

1 Harnois Ave, Westbrook, ME 040924392

Phone: 2076621360

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Patrick Fleming , MD

Internal Medicine

NPI 1205538402

Doctor of Medicine (M.D.)

Dr. Ellis Johnson , MD

Internal Medicine

NPI 1215196985

Doctor of Medicine (M.D.)

Dr. William Feero , MD, PhD

Family Medicine

NPI 1285600239

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Kristin Parris , MD

Internal Medicine

NPI 1386632289

Doctor of Medicine (M.D.)

Mikayla Chase , APRN-FNP

Nurse Practitioner - Family

NPI 1417318742

APRNFNP

Elizabeth Bacon , LCSW, CADC

Social Worker - Clinical

NPI 1508259532

Licensed Clinical Social Worker, Certified Alcohol and Drug Counselor

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2012

Registered at 1 HARNOIS AVE, WESTBROOK, ME 040924394 (Tel: 2076621340)

📍

Updated Business Mailing Address June 05, 2012

Registered at 301C US ROUTE 1, SCARBOROUGH, ME 040749701 (Tel: 2073968600)

👤

Provider Name / Credentials Updated June 05, 2012

Recorded as STEPHEN HAYES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Internal Medicine (License #MD13861 in ME)

🟢

Initial NPI Registration & Enumeration June 28, 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: 1255369575

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2006

Last Update: June 05, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301c Us Route 1

Scarborough, ME 040749701

Phone: 2073968600

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.