DR. STACEY HENNER WALDEN (DO) – Family Medicine Physician, NPI 1548204183
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
886 FAMILY PRACTICE in ME
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Provider Addresses for DR. STACEY HENNER WALDEN (DO)
Blue Hill Memorial Hospital, 57, Water Street, Blue Hill, Hancock County, Maine, 04614, United States
BLUE HILL, ME 04614
Phone: (207) 374-2311
Fax: (207) 374-3984
Type: Mailing
57 WATER ST
BLUE HILL, ME 046145231
Phone: (207) 374-2311
Fax: (207) 374-3991
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Abbott Laboratories ($23).
Total Amount
$61
General + Research + Ownership
Payments
3
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $23 |
| AstraZeneca Pharmaceuticals LP | $20 |
| Novo Nordisk Inc | $18 |
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: 2005-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050808000593 | I | Family Practice | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 68 | 51 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 57 | 46 | $0 |
| 85610 | Blood test, clotting time | 57 | 13 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 44 | 39 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 31 | 28 | $0 |
Insurance plans in this area (ZIP 04614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| Orthopedic Surgery | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| P O D I A T R Y | ME |
Reviews
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