DR. NICHOLAS JAMES STEPANSKI DO
NPI 1023547429
Family Medicine in Waterford, MI

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
53.53/100
CMS Quality Rating
4030 W WALTON BLVD, WATERFORD, MI 48329(248) 674-0431(248) 674-1573 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2021, Jun 8, 2017 (2 updates tracked since 2017).

About Dr. Nicholas James Stepanski Do NPPES

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

DR. NICHOLAS JAMES STEPANSKI DO (NPI 1023547429) is an individual family medicine provider in Waterford, Michigan, licensed in Michigan (5101023223) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1023547429
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLAS JAMES STEPANSKICredential: DO
Location Address4030 W WALTON BLVDWaterford, MI 48329-4174
Mailing Address4030 W Walton BlvdWaterford, MI 48329-4174 · (248) 674-0431 · Fax (248) 674-1573
Fax(248) 674-1573
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateJune 8, 2017
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
NPI 1023547429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101023223
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4030 W WALTON BLVD, Waterford, MI 48329

Accepted 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. Nicholas James Stepanski Do 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 ID6002186152
PECOS Enrollment IDI20200623001179
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
394 services229 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.
302 services167 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
161 services129 patients
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.
157 services117 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
154 services40 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.
123 services121 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48329 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

53.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities0
Cost45.11

Other Providers at the Same Location NPPES 2

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

Family Medicine
4030 W WALTON BLVD
WATERFORD, MI 48329
Family Medicine
4030 W WALTON BLVD
WATERFORD, MI 48329

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023547429, enumerated as an "individual" on June 08, 2017.

The provider is located at 4030 W WALTON BLVD WATERFORD, MI 48329 and the phone number is (248) 674-0431.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Nicholas Stepanski is affiliated with: TRINITY HEALTH OAKLAND HOSPITAL, MCLAREN FLINT and MCLAREN OAKLAND.