DR. THOMAS P. STERN M.D.
NPI 1083639439
Internal Medicine - Pulmonary Disease in Huntersville, NC

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
16507 NORTHCROSS DR, SUITE F, HUNTERSVILLE, NC 28078(704) 248-0000(877) 335-8171 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Dec 13, 2019 (2 updates tracked since 2019).

About Dr. Thomas P. Stern M.d. NPPES

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

DR. THOMAS P. STERN M.D. (NPI 1083639439) is an individual pulmonary disease provider in Huntersville, North Carolina, licensed in North Carolina (200401440) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hickory, and is a graduate of University Of Arkansas College Of Medicine (1997).

NPPES Registry Identity

NPI1083639439
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. THOMAS P. STERNCredential: M.D.
Location Address16507 NORTHCROSS DR, SUITE FHuntersville, NC 28078-5082
Mailing Address16507 Northcross Dr, Suite FHuntersville, NC 28078-5082 · (704) 248-0000 · Fax (877) 335-8171
Fax(877) 335-8171
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1997
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1083639439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 200401440
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 200401440 (NC)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 200401440 (NC)
Also ListedPediatricsTaxonomy 208000000X · License 200401440 (NC)
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License 200401440 (NC)
16507 NORTHCROSS DR, Huntersville, NC 28078

Secondary Practice Location 1

Location 11344 N Center St Ste BHickory, NC 28601-2797 · Phone (704) 248-0000 · Fax (877) 335-8171

Other Identifiers 3

Other1387ENC · Ncbcbs
Medicaid5901121NC
MedicaidN01440SC

Accepted 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. Thomas P. Stern 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 ID547210304
PECOS Enrollment IDI20050128000672
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 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.
260 services206 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
143 services142 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.
117 services84 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.
114 services114 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
91 services88 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
30 suppliers781 claims781 services$34.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
23 suppliers276 claims276 services$81.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
22 suppliers274 claims683 services$31.29 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
27 suppliers398 claims2,170 services$16.97 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
20 suppliers355 claims1,981 services$13.78 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
35 suppliers749 claims749 services$50.30 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 4

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

Internal Medicine (Pulmonary Disease)
16507 NORTHCROSS DR, SUITE F
HUNTERSVILLE, NC 28078
Counselor (Mental Health)
16507 NORTHCROSS DR, SUITE 105
HUNTERSVILLE, NC 28078
Massage Therapist
16507 NORTHCROSS DR, SUITE H
HUNTERSVILLE, NC 28078
Specialist/Technologist Cardiovascular (Sonography)
16507 NORTHCROSS DR, SUITE B
HUNTERSVILLE, NC 28078

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 Thomas Stern's NPI number?

The NPI number for Thomas Stern is 1083639439. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Thomas Stern located?

Thomas Stern practices at 16507 Northcross Dr Suite F, Huntersville, NC 28078. The listed phone number is (704) 248-0000.

What is Thomas Stern's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas Stern enrolled in Medicare?

Yes. Thomas Stern 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 Thomas Stern accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Thomas Stern 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.

When was this NPI record last updated?

The NPPES record for Thomas Stern was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.