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

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
509 BILTMORE AVE, ASHEVILLE, NC 28801(828) 213-0273(866) 285-9740 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 7, 2023, Sep 1, 2016 (2 updates tracked since 2016).

About Dr. Stephen C. Thompson M.d. NPPES

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

DR. STEPHEN C. THOMPSON M.D. (NPI 1043263478) is an individual internal medicine provider in Asheville, North Carolina, licensed in North Carolina (200800192) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Eastern Virginia Medical School (1994).

NPPES Registry Identity

NPI1043263478
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHEN C. THOMPSONCredential: M.D.
Location Address509 BILTMORE AVEAsheville, NC 28801-4601
Mailing AddressPo Box 602373Charlotte, NC 28260-2373 · (828) 250-2833 · Fax (828) 250-2932
Fax(866) 285-9740
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1994
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1043263478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 200800192
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 ListedEmergency MedicineTaxonomy 207P00000X · License 2008-00192 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 200800192 (NC)
509 BILTMORE AVE, Asheville, NC 28801

Other Identifiers 1

Medicaid89063W9NC

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. Stephen C. Thompson 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 ID1850391749
PECOS Enrollment IDI20070511000341
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 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.
599 services254 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.
162 services108 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.
158 services158 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
90 services90 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
90 services90 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.
80 services78 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28801 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine (Hospice and Palliative Medicine)
509 BILTMORE AVE
ASHEVILLE, NC 28801
Pathology (Anatomic Pathology & Clinical Pathology)
509 BILTMORE AVE
ASHEVILLE, NC 28801
Nurse Anesthetist, Certified Registered
509 BILTMORE AVE
ASHEVILLE, NC 28801
Registered Nurse (Orthopedic)
509 BILTMORE AVE
ASHEVILLE, NC 28801
Internal Medicine
509 BILTMORE AVE
ASHEVILLE, NC 28801
Nurse Anesthetist, Certified Registered
509 BILTMORE AVE
ASHEVILLE, NC 28801
Internal Medicine
509 BILTMORE AVE, ASHEVILLE HOSPITALIST GROUP
ASHEVILLE, NC 28801
Pharmacist (Pharmacotherapy)
509 BILTMORE AVE, DEPARTMENT OF PHARMACY-MISSION HOSPITALS
ASHEVILLE, NC 28801

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 Thompson's NPI number?

The NPI number for Stephen Thompson is 1043263478. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Stephen Thompson located?

Stephen Thompson practices at 509 Biltmore Ave, Asheville, NC 28801. The listed phone number is (828) 213-0273.

What is Stephen Thompson's specialty?

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

Is Stephen Thompson enrolled in Medicare?

Yes. Stephen Thompson 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.

What insurance does Stephen Thompson accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Stephen Thompson 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 Thompson affiliated with any hospitals?

According to CMS data, Stephen Thompson is affiliated with Sentara Albemarle Medical Center, Sentara Norfolk General Hospital, Sentara Obici Hospital, Sentara Leigh Hospital and Sentara Virginia Beach General Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Thompson was last updated on March 7, 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.