DR. STEFANIE DOLEN D.O.
NPI 1003229220
Internal Medicine in Burkesville, KY

Q: What is Stefanie Dolen's NPI number?

The NPI number for Stefanie Dolen is 1003229220. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Q: What is Stefanie Dolen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stefanie Dolen was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment

96.68/100

CMS Quality Rating

360 KEEN STREET, BURKESVILLE, KY 42717(270) 864-2889(270) 864-2229 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2023, Mar 17, 2018 (2 updates tracked since 2018).

On this page

About Dr. Stefanie Dolen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEFANIE DOLEN D.O. (NPI 1003229220) is an individual internal medicine provider in Burkesville, Kentucky, licensed in Kentucky (04010) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003229220

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. STEFANIE DOLENCredential: D.O.

Location Address360 KEEN STREETBurkesville, KY 42717-7915

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607

Phone(270) 864-2889

Fax(270) 864-2229

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 5, 2014

Last NPPES UpdateMay 12, 20232 updates tracked since enumeration

NPPES CertifiedMay 12, 2023

✔ NPI 1003229220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 04010

Definition

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.

Also ListedHospitalistTaxonomy 208M00000X · License 04010 (KY)

360 KEEN STREET, Burkesville, KY 42717

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1350 Hospital Way, Suite 101Somerset, KY 42503-2872 · Phone (606) 451-5092

Location 2723 Old Burkesville RoadAlbany, KY 42602 · Phone (606) 387-8000

Other Identifiers 2

Medicaid7100480790KY

Other14102106Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stefanie Dolen D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052629946

PECOS Enrollment IDI20160525002649

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

41 services34 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

34 services27 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

34 services24 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Cumberland County Hospital

Critical Access Hospitals · Burkesville, KY

OwnershipGovernment - Local

CMS Certification Number181317

Location299 Glasgow RoadBurkesville, KY 42717 · Cumberland County

Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY

OwnershipGovernment - Local

CMS Certification Number181330

Location153 Dowell RoadRussell Springs, KY 42642 · Russell County

Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181333

Location723 Burkesville RoadAlbany, KY 42602 · Clinton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

83.69

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers33 claims61 services$3.96 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers13 claims13 services$0.95 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers19 claims19 services$8.60 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$103.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA M DUNLAP DMD

Dentist (General Practice)