DR. STEPHEN TODD OLEX M.D.
NPI 1013114461
Internal Medicine - Cardiovascular Disease in Pottsville, PA

Active since June 29, 2007PECOS Enrolled
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901(570) 728-2424(570) 728-2425 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2022, Nov 14, 2019, Mar 31, 2016 (3 updates tracked since 2016).

About Dr. Stephen Todd Olex M.d. NPPES

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

DR. STEPHEN TODD OLEX M.D. (NPI 1013114461) is an individual cardiovascular disease provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD433625) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013114461
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. STEPHEN TODD OLEXCredential: M.D.
Location Address106 S CLAUDE A LORD BLVDPottsville, PA 17901-3602
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(570) 728-2425
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2004
Enumeration DateJune 29, 2007
Last NPPES UpdateDecember 5, 20223 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1013114461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD433625
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
106 S CLAUDE A LORD BLVD, Pottsville, PA 17901

Secondary Practice Locations 3

Location 11469 8th AveBethlehem, PA 18018 · Phone (484) 526-7800 · Fax (484) 526-7810
Location 2205 E Laurel BlvdPottsville, PA 17901-2534 · Phone (570) 622-1887 · Fax (570) 622-1959
Location 31250 S Cedar Crest Blvd Ste 300Allentown, PA 18103-6381 · Phone (610) 402-3110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Todd Olex M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517139421
PECOS Enrollment IDI20111018000406
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Olex reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
205 E LAUREL BLVD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
Family Medicine
2650 WOODGLEN RD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
310 services222 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
193 services186 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services73 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
69 services68 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
68 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Pharmacy (Community/Retail Pharmacy)
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Nurse Practitioner (Adult Health)
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Internal Medicine (Cardiovascular Disease)
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Physician Assistant (Medical)
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Physician Assistant
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Internal Medicine
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Internal Medicine
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Olex's NPI number?

The NPI number for Stephen Olex is 1013114461. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Stephen Olex located?

Stephen Olex practices at 106 S Claude A Lord Blvd, Pottsville, PA 17901. The listed phone number is (570) 728-2424.

What is Stephen Olex's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stephen Olex enrolled in Medicare?

Yes. Stephen Olex is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephen Olex's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Olex reassigns Medicare benefits to 2 organizations: Schuylkill Health System Medical Group, Inc. (Pottsville, PA) and St Luke's Physician Group, Inc (Pottsville, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Olex's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Olex accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stephen Olex as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Olex affiliated with any hospitals?

According to CMS data, Stephen Olex is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Olex was last updated on December 5, 2022. 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.