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DR. STEPHEN MARIETTA M.D.
NPI 1053301606
Internal Medicine - Interventional Cardiology in Knoxville, TN

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
9330 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923(865) 691-4850(865) 694-8018 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen Marietta M.d. NPPES

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

DR. STEPHEN MARIETTA M.D. (NPI 1053301606) is an individual interventional cardiology provider in Knoxville, Tennessee, licensed in Tennessee (16657) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of Creighton University School Of Medicine (1979).

NPPES Registry Identity

NPI1053301606
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. STEPHEN MARIETTACredential: M.D.
Location Address9330 PARK WEST BLVD, SUITE 202Knoxville, TN 37923-4308
Mailing Address9330 Park West Blvd, Suite 202Knoxville, TN 37923-4308 · (865) 691-4850 · Fax (865) 694-8018
Phone(865) 691-4850
Fax(865) 694-8018
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1979
Enumeration DateOctober 25, 2005
Last NPPES UpdateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1053301606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TN · 16657
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 16657 (TN)
9330 PARK WEST BLVD, Knoxville, TN 37923
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 Marietta 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 ID2668454133
PECOS Enrollment IDI20040607001223
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 6

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 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.
452 services293 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.
274 services241 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
96 services96 patients
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242
This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
63 services61 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.
39 services36 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%685 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
34%829 patients2/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%341 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%842 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%842 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%842 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRENT A GRISHKIN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9330 PARK WEST BLVD, SUITE 108
KNOXVILLE, TN 37923
Knox County (865) 769-8635
TENNESSEE PODIATRIC CLINICS INC
Podiatrist
9330 PARK WEST BLVD, SUITE 300
KNOXVILLE, TN 37923
Knox County (865) 531-8449
OBGYN PROFESSIONALS OF ETN PC
Obstetrics & Gynecology
9330 PARK WEST BLVD, SUITE 502
KNOXVILLE, TN 37923
Knox County (865) 531-3303
GARY A SPIEGELMAN MD
Internal Medicine (Gastroenterology)
9330 PARK WEST BLVD, SUITE 307
KNOXVILLE, TN 37923
Knox County (865) 531-8632
DR. ALAN N DECARLO MD
Internal Medicine (Cardiovascular Disease)
9330 PARK WEST BLVD, SUITE 202
KNOXVILLE, TN 37923
Knox County (865) 691-4850
HAMBLEN NEUROSCIENCE CENTER, PC
Specialist
9330 PARK WEST BLVD, STE 103
KNOXVILLE, TN 37923
Knox County (423) 587-7144
PARKWEST GYNECOLOGY, P.C.
Obstetrics & Gynecology (Gynecology)
9330 PARK WEST BLVD, ST 302
KNOXVILLE, TN 37923
Knox County (865) 531-5878
DR. ROBERT A HELSEL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9330 PARK WEST BLVD, STE 108
KNOXVILLE, TN 37923
Knox County (865) 373-0820

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 Marietta's NPI number?

The NPI number for Stephen Marietta is 1053301606. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Stephen Marietta located?

Stephen Marietta practices at 9330 Park West Blvd Suite 202, Knoxville, TN 37923. The listed phone number is (865) 691-4850.

What is Stephen Marietta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Stephen Marietta enrolled in Medicare?

Yes. Stephen Marietta 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 Marietta accept?

Health plans from BlueCross BlueShield of Tennessee list Stephen Marietta 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 Marietta affiliated with any hospitals?

According to CMS data, Stephen Marietta is affiliated with Starr Regional Medical Center Athens and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Marietta was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.