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DR. STEPHEN G PELHAM MD
NPI 1073508206
Family Medicine in Holmes Beach, FL

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
3909 E BAY DR, SUITE 100, HOLMES BEACH, FL 34217(941) 778-1007(941) 778-9256 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen G Pelham Md NPPES

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

DR. STEPHEN G PELHAM MD (NPI 1073508206) is an individual family medicine provider in Holmes Beach, Florida, licensed in Florida (ME36812) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1073508206
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN G PELHAMCredential: MD
Location Address3909 E BAY DR, SUITE 100Holmes Beach, FL 34217-1997
Mailing Address3909 E Bay Dr, Suite 100Holmes Beach, FL 34217-1997 · (941) 778-1007 · Fax (941) 778-9256
Phone(941) 778-1007
Fax(941) 778-9256
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMarch 31, 2014
✔ NPI 1073508206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME36812
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.
3909 E BAY DR, Holmes Beach, FL 34217
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Other Identifiers 5

Other51125FL · Bcbs
Other80124988FL · Rail Road Medicare
Medicare PIN51125W
Medicare UPINE11959FL
Medicaid065258000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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 G Pelham Md 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 ID143363127
PECOS Enrollment IDI20100130000356
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 9

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.
405 services216 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
302 services302 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.
289 services289 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
289 services289 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.
103 services81 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.
60 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100213
Location2020 59th St WBradenton, FL 34209 · Manatee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34217 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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
9 suppliers30 claims100 services$5.68 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 5

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

PAUL J BARRESE MD PA
Internal Medicine
3909 E BAY DR, SUITE 210
HOLMES BEACH, FL 34217
Manatee County (941) 778-2271
DENA MARIE DAHLQUIST ARNP-C
Nurse Practitioner (Family)
3909 E BAY DR, STE 100
HOLMES BEACH, FL 34217
Manatee County (941) 778-1007
DR. SCOTT L KOSFELD MD
Family Medicine
3909 E BAY DR, SUITE 100
HOLMES BEACH, FL 34217
Manatee County (941) 778-1007
PAUL JOSEPH BARRESE MD
Internal Medicine
3909 E BAY DR, SUITE 210
HOLMES BEACH, FL 34217
Manatee County (941) 778-2271
DR. BENJAMIN TINDAL D.M.D
Dentist
3909 E BAY DR
HOLMES BEACH, FL 34217
Manatee County (941) 778-2204

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 Pelham's NPI number?

The NPI number for Stephen Pelham is 1073508206. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Stephen Pelham located?

Stephen Pelham practices at 3909 E Bay Dr Suite 100, Holmes Beach, FL 34217. The listed phone number is (941) 778-1007.

What is Stephen Pelham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Pelham enrolled in Medicare?

Yes. Stephen Pelham 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 Pelham accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Stephen Pelham 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 Pelham affiliated with any hospitals?

According to CMS data, Stephen Pelham is affiliated with Sarasota Memorial Hospital and Hca Florida Blake Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Pelham was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.