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STEPHEN SHOTEN M.D.
NPI 1013918853
Internal Medicine in Hampton Bays, NY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
182 W MONTAUK HWY, SUITE H, HAMPTON BAYS, NY 11946(631) 723-0022(631) 723-3304 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Shoten M.d. NPPES

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

STEPHEN SHOTEN M.D. (NPI 1013918853) is an individual internal medicine provider in Hampton Bays, New York, licensed in New York (186368) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of New York Medical College (1985).

NPPES Registry Identity

NPI1013918853
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHEN SHOTENCredential: M.D.
Location Address182 W MONTAUK HWY, SUITE HHampton Bays, NY 11946-2345
Mailing Address182 W Montauk Hwy, Suite HHampton Bays, NY 11946-2345 · (631) 723-0022 · Fax (631) 723-3304
Phone(631) 723-0022
Fax(631) 723-3304
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1985
Enumeration DateAugust 2, 2005
Last NPPES UpdateApril 10, 2022
NPPES CertifiedApril 10, 2022
✔ NPI 1013918853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 186368
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.
182 W MONTAUK HWY, Hampton Bays, NY 11946
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Other Identifiers 1

Medicaid01365659NY

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

Stephen Shoten M.d. 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 ID6002092681
PECOS Enrollment IDI20111206000220
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 8

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.
470 services251 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
245 services245 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
222 services129 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.
198 services191 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.
157 services155 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
113 services112 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11946 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers16 claims59 services$5.74 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.

ALEKSANDRA LIBERMAN M.D.
Internal Medicine
182 W MONTAUK HWY, SUITE H
HAMPTON BAYS, NY 11946
Suffolk County (631) 723-0022
DR. ELAINE KARIS M.D.
Internal Medicine (Rheumatology)
182 W MONTAUK HWY, SUITE B BUILDING B
HAMPTON BAYS, NY 11946
Suffolk County (631) 594-3910
DR. KEVIN SHEREN DDS
Dentist (General Practice)
182 W MONTAUK HWY, BUILDING B SUITE E
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-8400
MARK G. CREIGHTON, MD PC
Orthopaedic Surgery
182 W MONTAUK HWY, SUITE C-1
HAMPTON BAYS, NY 11946
Suffolk County (631) 723-0223
DR. HEMA DALAL MD
Allergy & Immunology
182 W MONTAUK HWY, BLDG B , SUITE F
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-9391
DR. JESLIN THOMAS D.M.D.
Dentist
182 W MONTAUK HWY, BUILDING B SUITE E
HAMPTON BAYS, NY 11946
Suffolk County (631) 728-8400
JENNIFER ELAINE JOLY PA
Physician Assistant
182 W MONTAUK HWY, BLDG B SUITE D
HAMPTON BAYS, NY 11946
Suffolk County (631) 287-5990
MARK G CREIGHTON M.D.
Orthopaedic Surgery
182 W MONTAUK HWY, SUITE C-1
HAMPTON BAYS, NY 11946
Suffolk County (631) 723-0223

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 Shoten's NPI number?

The NPI number for Stephen Shoten is 1013918853. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Stephen Shoten located?

Stephen Shoten practices at 182 W Montauk Hwy Suite H, Hampton Bays, NY 11946. The listed phone number is (631) 723-0022.

What is Stephen Shoten's specialty?

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

Is Stephen Shoten enrolled in Medicare?

Yes. Stephen Shoten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stephen Shoten affiliated with any hospitals?

According to CMS data, Stephen Shoten is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Shoten was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.