STEPHEN J BARR M.D.
NPI 1245228949
Orthopaedic Surgery in Portland, ME

Quality Rating: 98.23 out of 100 score

NPI Status: Active since October 07, 2005

Contact Information

33 SEWALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 828-2100

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Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
Overall Quality Performance
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 35
Orthopaedic Surgery
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About STEPHEN BARR

This page provides the complete NPI Profile along with additional information for Stephen Barr, a provider established in Portland, Maine with a medical specialization in Orthopaedic Surgery and more than 35 years of experience. He graduated from University Of Massachusetts Medical School in 1991. The healthcare provider is registered in the NPI registry with number 1245228949 assigned on October 2005. The practitioner's primary taxonomy code is 207X00000X with license number MD15198 (ME). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI: 1245228949
Provider Name: STEPHEN J BARR M.D.
Gender: Male
Entity Type: Individual
Location Address: 33 SEWALL ST PORTLAND, ME 04102
Location Phone: (207) 828-2100
Mailing Address: 324 GANNETT DR STE 200 SOUTH PORTLAND, ME 04106
Mailing Phone: (207) 482-7800
Medical School Name: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year: 1991
Is Sole Proprietor?: No
Enumeration Date: 10-07-2005
Last Update Date: 04-24-2024
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Location Map

Secondary Locations

193 Main St
Norway, ME 04268
(207) 828-2100

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Orthopaedic Surgery
Taxonomy Code: 207X00000X
Type: Allopathic & Osteopathic Physicians
License No.: MD15198
License State: ME
Taxonomy Description: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

Harvard Pilgrim Health Care

NH Local Choice HMO Bronze 8000 - HMO
NH Local Choice HMO Gold - HMO
NH Local Choice HMO Gold 1400 - HMO
NH Local Choice HMO HSA Bronze 6000 - HMO
NH Local Choice HMO Silver 3500 - HMO
NH Local Choice HMO Silver 5000 - HMO
NH Local HMO Bronze 7500 Standard - HMO
NH Local HMO Gold 1500 Standard - HMO
NH Local HMO Silver 5000 Standard - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1245228949	MEDICAID (05)	ME

Medicare Participation & PECOS Enrollment Status

Stephen Barr is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stephen Barr is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 5698707222
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20050906000034
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hip replacement
Injection, methylprednisolone acetate, 40 mg
Knee replacement
Laminectomy or laminotomy (partial removal of spine bones)
Lower limb (leg) arthroscopy (minimally invasive joint repair)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Replacement of knee joint, both sides of knee
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of shoulder, minimum of 2 views

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $17.53 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04102 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $86.72
Minimum New Patient Price $56.28
Maximum New Patient Price $169.96

Average New Patient Copayment $21.68
Minimum New Patient Copayment $14.07
Maximum New Patient Copayment $42.49

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $70.13
Minimum Established Patient Price $18.22
Maximum Established Patient Price $138.92

Average Established Patient Copayment $17.53
Minimum Established Patient Copayment $4.55
Maximum Established Patient Copayment $34.73

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.23, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

Final Score: 98.23 out of 100

The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
Quality Score: 86.46

The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability Score: 100

The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities Score: 40

The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost Score: N/A

The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Cost Score: N/A

The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Chronic Care and Preventative Care Management for Empaneled Patients	Yes	N/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Documentation of Current Medications in the Medical Record	100%	2357
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Health Information Exchange	38%	479
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Implementation of medication management practice improvements	Yes	N/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel Level	Yes	N/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Medication Reconciliation	100%	376
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education	11%	1284
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	24%	1020
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	82%	412
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access	87%	1284
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging	10%	1284
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk Analysis	Yes	N/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocols	Yes	N/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephen Barr is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type
NORTHERN LIGHT HEALTH	144 STATE STREET PORTLAND, ME 04101	(207) 879-3000	Acute Care Hospitals
MAINE MEDICAL CENTER	22 BRAMHALL ST PORTLAND, ME 04102	(207) 662-0111	Acute Care Hospitals
STEPHENS MEMORIAL HOSPITAL	181 MAIN STREET NORWAY, ME 04268	(207) 743-5933	Critical Access Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	4	5	2	2	8	9	4	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	8	5	4	2	16	9	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 2 + 1 + 6 + 9 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1245228949 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1558361311	DR. PETER E GUAY D.O Individual	Orthopaedic Surgery	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1295729531	ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA Organization	Orthopaedic Surgery	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1528053931	MR. BRIAN L HALLA PA-C Individual	Physician Assistant (Surgical)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1497741961	CHRIS T. HILLMAN PA-C Individual	Physician Assistant (Surgical)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1588648869	TIMOTHY P DAVOREN P.T. Individual	Physical Therapist	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1578502068	ORTHOPAEDIC SURGERY CENTER Organization	Clinic/Center (Ambulatory Surgical)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1740203157	MISS DANA L. EUSTIS RNFA Individual	Registered Nurse (Registered Nurse First Assistant)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1639192040	MISS JILL S BINFORD RNFA Individual	Registered Nurse (Registered Nurse First Assistant)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1700931276	ORTHOPAEDIC ASSOCIATES OF PORTLAND PERFORMANCE THERAPY Organization	Clinic/Center (Physical Therapy)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1891840260	ORTHOPAEDIC ASSOCIATES OF PORTLAND, P.A. Organization	Clinic/Center (Magnetic Resonance Imaging (MRI))	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1568647147	ROBERT DENNIS LEIGHTON P.T. Individual	Physical Therapist (Orthopedic)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1215189733	JANE W THOMAS RNFA Individual	Registered Nurse (Orthopedic)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1437302163	MS. MELISSA SUE NEAULT P.T. Individual	Physical Therapist (Hand)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1962796136	DANIELLE M COCHRANE DPT Individual	Physical Therapist	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1427057611	DR. DIRK G. ASHERMAN M.D. Individual	Orthopaedic Surgery (Foot and Ankle Surgery)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1790785632	DOUGLAS W BROWN M.D. Individual	Orthopaedic Surgery (Sports Medicine)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1760482533	JAMES F FINDLAY D.O. Individual	Neuromusculoskeletal Medicine & OMM	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1164423117	WILLIAM M HEINZ M.D. Individual	Internal Medicine (Sports Medicine)	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1316921612	JARED L BUZZELL P.T. Individual	Physical Therapist	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100
1184608465	STACEY L DOYON O.T. Individual	Occupational Therapist	33 SEWALL ST PORTLAND, ME 04102 (207) 828-2100

Frequently Asked Questions

What is Stephen Barr M.D. NPI number?

The NPI number assigned to this healthcare provider is 1245228949, enumerated in the NPI registry as an "individual" on October 07, 2005

Where is the provider located?

The provider is located at 33 Sewall St Portland, Me 04102 and the phone number is (207) 828-2100

What is the provider specialty code?

The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X

How many years of experience does Stephen Barr M.D. have?

The provider has more than 35 years of experience. He graduated from University Of Massachusetts Medical School in 1991.

What insurance does Stephen Barr M.D. accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Stephen Barr M.D. registered in PECOS?

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Stephen Barr M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Stephen Barr M.D.?

Medicare beneficiaries should expect a typical cost of $86.72 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $70.13 and an average copayment of 17.53. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Stephen Barr M.D.?

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hip replacement, Injection, methylprednisolone acetate, 40 mg, Knee replacement, Laminectomy or laminotomy (partial removal of spine bones), Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Replacement of knee joint, both sides of knee, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views and X-ray of shoulder, minimum of 2 views.

Is Stephen Barr M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): NORTHERN LIGHT HEALTH, MAINE MEDICAL CENTER and STEPHENS MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on October 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.

About STEPHEN BARR

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Orthopaedic Surgery

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 5698707222

PECOS Enrollment ID: I20050906000034

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

Aspiration and/or injection of fluid from large joint

Established patient office or other outpatient visit, 10-19 minutes

Established patient office or other outpatient visit, 20-29 minutes

Established patient office or other outpatient visit, 30-39 minutes

Hip replacement

Injection, methylprednisolone acetate, 40 mg

Knee replacement

Laminectomy or laminotomy (partial removal of spine bones)

Lower limb (leg) arthroscopy (minimally invasive joint repair)

New patient office or other outpatient visit, 30-44 minutes

New patient office or other outpatient visit, 45-59 minutes

Replacement of knee joint, both sides of knee

X-ray of hip, 2-3 views

X-ray of knee, 1-2 views

X-ray of shoulder, minimum of 2 views

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Overall MIPS Quality Performance

Final Score: 98.23 out of 100

Quality Score: 86.46

Promoting Interoperability Score: 100

Improvement Activities Score: 40

Cost Score: N/A