STEPHEN PAUL CALLAHAN (PA-C) – Physician Assistant, NPI 1285082552

STEPHEN PAUL CALLAHAN (PA-C) is a healthcare provider. based in Ft wainwright, Alaska. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 23.003624 (CT). The NPI Number for STEPHEN PAUL CALLAHAN (PA-C) is 1285082552

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN PAUL CALLAHAN (PA-C)
NPI
1285082552
Phone
(907) 361-5172
Address
4076 NEELY ROAD
Enumeration Date
27 May 2016
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8607144097
Graduation Year
2016 (10 years ago)
PAC ID
4284920612
Group Practice PAC ID
0941113567
Professional Enrollment ID
I20160909002230
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for STEPHEN PAUL CALLAHAN (PA-C)

  • 4076 NEELY ROAD

    FT WAINWRIGHT, AK 99703

    Phone: (907) 361-5172

    Type: Mailing

  • Saint Francis Hospital and Medical Center, 114, Woodland Street, Upper Albany Historic District, Hartford, Hartford County, Connecticut, 06105, United States

    HARTFORD, CT 061051208

    Phone: (860) 714-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Alcresta Therapeutics, Inc. ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160909002230IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 99703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941113567View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)CT
-CT
Emergency MedicineRI
-GA
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
Cardiovascular Disease (Cardiology)CT
Physician AssistantCT
General Surgery, Surgical OncologyCT

Reviews

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Frequently asked questions

What is STEPHEN PAUL CALLAHAN (PA-C)'s NPI number?
STEPHEN PAUL CALLAHAN (PA-C)'s NPI is 1285082552 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to STEPHEN PAUL CALLAHAN (PA-C)?
You should see STEPHEN PAUL CALLAHAN (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to STEPHEN PAUL CALLAHAN (PA-C)?
STEPHEN PAUL CALLAHAN (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHEN PAUL CALLAHAN (PA-C)?
Travel planning: use Ft Wainwright, Alaska as the reference point for STEPHEN PAUL CALLAHAN (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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