DR. STEPHEN C. THOMPSON M.D.
NPI 1043263478
Internal Medicine in Asheville, NC


Quality Rating: 96.72 out of 100 score

NPI Status: Active since May 18, 2006

Contact Information

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
Phone: (828) 213-0273
Fax: (866) 285-9740

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  • Individual
  • Male
  • Years of Experience 32
  • Internal Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEPHEN THOMPSON

This page provides the complete NPI Profile along with additional information for Stephen Thompson, an internist established in Asheville, North Carolina with a medical specialization in Internal Medicine and more than 32 years of experience. He graduated from Eastern Virginia Medical School in 1994. The healthcare provider is registered in the NPI registry with number 1043263478 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 200800192 (NC). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1043263478
Provider Name
DR. STEPHEN C. THOMPSON M.D.
Gender
Male
Entity Type
Individual
Location Address
509 BILTMORE AVE ASHEVILLE, NC 28801
Location Phone
(828) 213-0273
Location Fax
(866) 285-9740
Mailing Address
PO BOX 602373 CHARLOTTE, NC 28260
Mailing Phone
(828) 250-2833
Mailing Fax
(866) 285-9740
Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year
1994
Is Sole Proprietor?
No
Enumeration Date
05-18-2006
Last Update Date
03-07-2023
Code Navigator

An internist like Stephen Thompson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
200800192
License State
NC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

2008-00192 (NC)
2208M00000XAllopathic & Osteopathic Physicians

Hospitalist

200800192 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Gold Elite Saver Plus - HMO
  • Gold Elite Saver Plus | with Atrium Health - HMO
  • Secure - HMO
  • Secure | with Atrium Health - HMO
  • Silver Classic - HMO
  • Silver Classic | with Atrium Health - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with Atrium Health - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple Diabetes | with Atrium Health - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple PCP Saver | with Atrium Health - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
89063W9MEDICAID (05)NC 

Medicare Participation & PECOS Enrollment Status

Stephen Thompson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stephen Thompson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1850391749

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070511000341

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 55 times for 55 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

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.

This service was performed 27 times for 27 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 25 times for 23 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 116 times for 103 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 43 times for 43 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 54 times for 54 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.25 for a new patient copayment and $23.98 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.01
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $31.25
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.72, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 96.72 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 88.09

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephen Thompson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SENTARA NORFOLK GENERAL HOSPITAL600 GRESHAM DR
NORFOLK, VA 23507
(757) 388-3000Acute Care Hospitals
SENTARA OBICI HOSPITAL2800 GODWIN BOULEVARD
SUFFOLK, VA 23439
(757) 934-4000Acute Care Hospitals
SENTARA LEIGH HOSPITAL830 KEMPSVILLE ROAD
NORFOLK, VA 23502
(757) 261-6700Acute Care Hospitals
SENTARA VIRGINIA BEACH GENERAL HOSPITAL1060 FIRST COLONIAL ROAD
VIRGINIA BEACH, VA 23454
(757) 395-8000Acute Care Hospitals
SENTARA PRINCESS ANNE HOSPITAL2025 GLENN MITCHELL DRIVE
VIRGINIA BEACH, VA 23456
(757) 507-1520Acute Care Hospitals

Reviews for DR. STEPHEN C. THOMPSON M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043263478
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083466414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 6 + 6 + 4 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1043263478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MARILYN Y HAAS ANP

Nurse Practitioner

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 254-1111

KELLIE S CONDRA MD

Radiology

(Radiation Oncology)

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 254-1111

SESALIE L SMATHERS MD

Radiology

(Radiation Oncology)

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 254-1111

DR. ERIC F KUEHN MD

Radiology

(Radiation Oncology)

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 213-0100

MATTHEW C HULL MD

Radiology

(Radiation Oncology)

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 254-1111

MISSION HOSPITALS INC

Psychiatry & Neurology

(Neurology)

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 213-6600

ALEXANDER SCHNEIDER M.D.

Psychiatry & Neurology

(Neurology)

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 213-6600

REID TAYLOR M.D.

Psychiatry & Neurology

(Neurology)

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 213-6600

JUDY GAMWELL N.P.

Nurse Practitioner

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(828) 213-1995

PHYLLIS E SHELTON MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

STACE E HORINE DO

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

CORNELL K YAGER MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

MARGARET K CHALLY MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

MARK E HELMS MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

DAVID M POORBAUGH MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

PAUL C FLANDERS MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

SAMUEL H WIEST MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

REX A HENDERSON MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

SCOTT A RAMMING MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

VERNON B STEWART MD

Emergency Medicine

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801

(843) 237-3378

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043263478, enumerated as an "individual" on May 18, 2006.

The provider is located at 509 BILTMORE AVE ASHEVILLE, NC 28801 and the phone number is (828) 213-0273.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Oscar Health Plan of North Carolina, Inc, Medicare. Please consult your insurance carrier or call the provider to verify.

Stephen Thompson is affiliated with: SENTARA NORFOLK GENERAL HOSPITAL, SENTARA OBICI HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL and SENTARA PRINCESS ANNE HOSPITAL.