STEPHEN FRANK WHEELER MD
NPI 1083665939
Family Medicine in Louisville, KY

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
550 S JACKSON ST, 1ST FLOOR, LOUISVILLE, KY 40202(502) 562-6503(502) 562-6504 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Frank Wheeler Md NPPES

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

STEPHEN FRANK WHEELER MD (NPI 1083665939) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (26215) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1980).

NPPES Registry Identity

NPI1083665939
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN FRANK WHEELERCredential: MD
Location Address550 S JACKSON ST, 1ST FLOORLouisville, KY 40202-1622
Mailing Address501 E Broadway, Suite 120Louisville, KY 40202-1785 · (502) 562-6810 · Fax (502) 562-6777
Fax(502) 562-6504
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1980
Enumeration DateMay 15, 2006
Last NPPES UpdateApril 16, 2008
NPI 1083665939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 26215
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.

550 S JACKSON ST, Louisville, KY 40202

Other Identifiers 7

Medicare PIN0523912KY
Medicare PIN1271128KY
Medicare PIN0766101KY
Medicare PIN0631208KY
Medicare UPINF26045KY
Medicare PIN0048420KY
Medicaid64262157KY

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

Stephen Frank Wheeler 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 ID4183773765
PECOS Enrollment IDI20090602000044
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 2

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.
34 services25 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.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
550 S JACKSON ST
LOUISVILLE, KY 40202
Internal Medicine (Critical Care Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Psychiatry & Neurology (Psychiatry)
550 S JACKSON ST
LOUISVILLE, KY 40202
Internal Medicine
550 S JACKSON ST
LOUISVILLE, KY 40202
Surgery (Vascular Surgery)
550 S JACKSON ST, 2ND FLOOR
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202

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 Wheeler's NPI number?

The NPI number for Stephen Wheeler is 1083665939. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Stephen Wheeler located?

Stephen Wheeler practices at 550 S Jackson St 1st Floor, Louisville, KY 40202. The listed phone number is (502) 562-6503.

What is Stephen Wheeler's specialty?

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

Is Stephen Wheeler enrolled in Medicare?

Yes. Stephen Wheeler 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 Wheeler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Stephen Wheeler 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 Stephen Wheeler was last updated on April 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.