STEPHANIE L. WHEELER M.D.
NPI 1073926978
Family Medicine in Kennewick, WA

Q: What is Stephanie Wheeler's NPI number?

The NPI number for Stephanie Wheeler is 1073926978. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Q: What is Stephanie Wheeler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Wheeler was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment

3180 W CLEARWATER AVE STE A, KENNEWICK, WA 99336(509) 547-2204 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Stephanie L. Wheeler M.d. NPPES

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

STEPHANIE L. WHEELER M.D. (NPI 1073926978) is an individual family medicine provider in Kennewick, Washington, licensed in Washington (MD60680910) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Trios Health, and is a graduate of Georgetown University School Of Medicine (2014).

NPPES Registry Identity

NPI1073926978

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTEPHANIE L. WHEELERCredential: M.D.

Location Address3180 W CLEARWATER AVE STE AKennewick, WA 99336-2765

Mailing Address521 Martin Luther King Jr Way, Tacoma Family MedicineTacoma, WA 98405-4238 · (253) 792-6680 · Fax (253) 403-2915

Phone(509) 547-2204

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2014

Enumeration DateJune 9, 2014

Last NPPES UpdateDecember 5, 2017

✔ NPI 1073926978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60680910

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.

3180 W CLEARWATER AVE STE A, Kennewick, WA 99336

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Other Identifiers 1

Medicaid2042923WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Stephanie L. Wheeler 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 ID8527382399

PECOS Enrollment IDI20171019002926

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

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.

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

59 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Trios Health

Acute Care Hospitals · Kennewick, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500053

Location900 South Auburn StreetKennewick, WA 99336 · Benton County

Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500058

Location888 Swift BlvdRichland, WA 99352 · Benton County

Emergency services Birthing friendly

Lourdes Medical Center

Critical Access Hospitals · Pasco, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501337

Location520 N Fourth AvenuePasco, WA 99301 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%33 patients

Breast Cancer Screening

57%162 patients3/55-star benchmark: 93%

Cervical Cancer Screening

58%222 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

32%233 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

53%316 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

65%199 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

23%154 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

15%154 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%1,293 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

1%143 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

44%461 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

81%362 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%615 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 90% · 416 patients

Patients screened: 92% · 416 patients

90%61 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%165 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 6% · 154 patients

Patients totalRate: 19% · 159 patients

18%159 patients3/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

6 suppliers17 claims55 services$5.69 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers13 claims17 services$1.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier11 claims660 services$0.81 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers13 claims13 services$26.08 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.

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