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

About PETER STIER M.D.

Peter Stier is a provider established in Madison, Wisconsin and his medical specialization is Emergency Medicine with more than 25 years of experience. He graduated from Rush Medical College Of Rush University in 1998. The NPI number of Peter Stier is 1073595575 and was 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 14 years ago.

NPI
1073595575
Provider Name PETER STIER M.D.
Location Address600 HIGHLAND AVE MADISON, WI 53792
Location Phone(608) 262-2398
Mailing Address7974 UW HEALTH CT MIDDLETON, WI 53562
GenderMale
NPI 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

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.

Peter Stier is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207P00000X
ClassificationEmergency Medicine
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.

Business Address

PETER STIER M.D.
600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 262-2398
Fax: (608) 262-9999

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Mailing Address

PETER STIER M.D.
7974 UW HEALTH CT
MIDDLETON, WI
ZIP 53562
Phone:


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2466529946
PECOS Enrollment IDI20080925000145
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 53792 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.63 $169.16 $85.6
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.9 $42.29 $21.4
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.46 $138.8 $99.45
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.36 $34.7 $24.86

* The physician office visit costs information is obtained by Medicare's 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 Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 100
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 (PI) 25% 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 15% 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 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 20% 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.
MIPS Final Score - 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.

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
1285639237MR. JASON R WILLIAMS CRNA
Individual
Nurse Anesthetist, Certified Registered600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-8100
1073595427 MICHAEL D CARRITHERS MD
Individual
Psychiatry & Neurology (Neurology)600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-5442
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
1518933258 LINCOLN F RAMIREZ MD PHD
Individual
Neurological Surgery600 HIGHLAND AVE
MADISON, WI 53792
(608) 263-7502
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
1356317861 MICHAEL PEROUANSKY 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

Frequently Asked Questions

What is Peter Stier M.D. NPI number?

The NPI number assigned to Peter Stier M.D. is 1073595575, registered as an "individual" on November 18, 2005

Where is Peter Stier M.D. located?

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

Which is Peter Stier M.D. specialty?

The provider's speciality is Emergency Medicine

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

The provider has more than 25 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 January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.

How do I update my NPI information?

The NPI record of Peter Stier M.D. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]