PETER STIER M.D.
NPI 1073595575
Emergency Medicine in Madison, WI


Quality Rating: 99.91 out of 100 score

NPI Status: Active since November 18, 2005

Contact Information

600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 262-2398
Fax: (608) 262-9999

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  • Individual
  • Male
  • Years of Experience 26
  • Emergency Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About PETER STIER

Peter Stier is a provider established in Madison, Wisconsin and his medical specialization is Emergency Medicine with more than 26 years of experience. He graduated from Rush Medical College Of Rush University in 1998. The healthcare provider is registered in the NPI registry with number 1073595575 assigned on November 2005. The practitioner's primary taxonomy code is 207P00000X with license number 43136 (WI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI1073595575
Provider NamePETER STIER M.D.
Location Address600 HIGHLAND AVE MADISON, WI 53792
Location Phone(608) 262-2398
Mailing Address7974 UW HEALTH CT MIDDLETON, WI 53562
GenderMale
Entity TypeIndividual
Medical School NameRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year1998
Is Sole Proprietor?No
Enumeration Date11-18-2005
Last Update Date06-03-2009
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Peter Stier 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.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.91, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $24.86 for an established patient copayment.

Location Map

Mailing Address

7974 UW HEALTH CT
MIDDLETON, WI
ZIP 53562

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

Emergency Medicine

Taxonomy Code207P00000X
TypeAllopathic & Osteopathic Physicians
License No.43136
License StateWI
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

PECOS Enrollment and Medicare Participation Status

Peter Stier 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: 2466529946

    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: I20080925000145

    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

Physician Visit Costs

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 53792 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.6
  • Minimum New Patient Price $55.63
  • Maximum New Patient Price $169.16
  • Average New Patient Copayment $21.4
  • Minimum New Patient Copayment $13.9
  • Maximum New Patient Copayment $42.29

Established Patients Visit Costs *

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

  • Average Established Patient Price $99.45
  • Minimum Established Patient Price $17.46
  • Maximum Established Patient Price $138.8
  • Average Established Patient Copayment $24.86
  • Minimum Established Patient Copayment $4.36
  • Maximum Established Patient Copayment $34.7

* 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 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: 99.91 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: 99.89

    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: N/A

    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.

Hospital Affiliations

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. Peter Stier is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
STOUGHTON HOSPITAL ASSOCIATION900 RIDGE ST
STOUGHTON, WI 53589
(608) 873-6611Critical Access Hospitals

Reviews for PETER STIER 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.
1073595575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014310910514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 0 + 9 + 1 + 0 + 5 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1073595575 is valid because the calculated check digit 5 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.

NPI Name / Type Taxonomy Address
1730169624 RALPH M. COLBURN MD
Individual
Radiology (Diagnostic Radiology)600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8340
1316918758DR. A LELAND ALBRIGHT MD
Individual
Neurological Surgery600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-9651
1568434777 JOHN O FLEMING MD
Individual
Psychiatry & Neurology (Neurology)600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-5442
1851363063 JENNY P LIAO MD
Individual
Psychiatry & Neurology (Neurology)600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-5442
1861464174 DENISE K BROST NP
Individual
Nurse Practitioner600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-1410
1629040795 JENNIFER S WINCHELL NP
Individual
Nurse Practitioner600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-7502
1265404800 LOUIS C FISCHER M.D.
Individual
Radiology (Diagnostic Radiology)600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8340
1871566620 JOANNE K RASH PA
Individual
Physician Assistant600 HIGHLAND AVE
MADISON, WI 53792
(608) 265-1700
1346215233 TAMARA WILLMAN CRNA
Individual
Nurse Anesthetist, Certified Registered600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1184690836 PATRICIA ANN BARRETT MD
Individual
Radiology (Radiation Oncology)600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8500
1013983527 JAMES H FITZPATRICK MD
Individual
Anesthesiology600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1508832015 MARK E SCHROEDER MD
Individual
Anesthesiology600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1700852217 KARL WILLMANN MD
Individual
Anesthesiology600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1871569384 FRANCES WIEDENHOEFT CRNA
Individual
Nurse Anesthetist, Certified Registered600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1043286560 REBECCA ANN KONKOL CRNA
Individual
Nurse Anesthetist, Certified Registered600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1700852225 THOMAS O MONSOOR CRNA
Individual
Nurse Anesthetist, Certified Registered600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1194791590 KATHRYN F FAHRENKRUG CRNA
Individual
Nurse Anesthetist, Certified Registered600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1265408660 GIUDITTA ANGELINI MD
Individual
Anesthesiology600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1255307658 GEORGE M SAVIELLO MD MBA
Individual
Anesthesiology600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1376519447 ROBERT B HOLLAND MD
Individual
Internal Medicine (Medical Oncology)600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-7500

Frequently Asked Questions

What is Peter Stier M.D. NPI number?

The NPI number assigned to this healthcare provider is 1073595575, enumerated in the NPI registry as an "individual" on November 18, 2005

Where is the provider located?

The provider is located at 600 Highland Ave Madison, Wi 53792 and the phone number is (608) 262-2398

What is the provider specialty code?

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

How many years of experience does Peter Stier M.D. have?

The provider has more than 26 years of experience. He graduated from Rush Medical College Of Rush University in 1998.

Is Peter Stier M.D. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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 are Peter Stier M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Peter Stier M.D.?

Medicare beneficiaries should expect a typical cost of $85.6 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $99.45 and an average copayment of 24.86. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Peter Stier M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): STOUGHTON HOSPITAL ASSOCIATION. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on November 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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