STEPHEN E PACIFICO MD
NPI 1093026627
Surgery in Maryville, TN

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
405 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 238-6430(865) 238-6444 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2022, Nov 1, 2022, Jan 11, 2022 and 4 more (7 updates tracked since 2017).

About Stephen E Pacifico Md NPPES

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

STEPHEN E PACIFICO MD (NPI 1093026627) is an individual surgery provider in Maryville, Tennessee, licensed in Tennessee (MD53188) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2010).

NPPES Registry Identity

NPI1093026627
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTEPHEN E PACIFICOCredential: MD
Location Address405 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804-5807
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(865) 238-6444
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2010
Enumeration DateJune 29, 2010
Last NPPES UpdateOctober 29, 20257 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1093026627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TN · MD53188
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
405 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

Other Identifiers 1

MedicaidQ015220TN

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 E Pacifico 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 ID6002058591
PECOS Enrollment IDI20151009002307
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 11

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.

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.
65 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services21 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.
47 services44 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
27 services27 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Surgery
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Dietitian, Registered
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Surgery
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Dietitian, Registered
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Surgery
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Dietitian, Registered
405 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804

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 Pacifico's NPI number?

The NPI number for Stephen Pacifico is 1093026627. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Stephen Pacifico located?

Stephen Pacifico practices at 405 Bmh Physicians Office Bldg, Maryville, TN 37804. The listed phone number is (865) 238-6430.

What is Stephen Pacifico's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Pacifico enrolled in Medicare?

Yes. Stephen Pacifico 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 Pacifico accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Stephen Pacifico 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.

Is Stephen Pacifico affiliated with any hospitals?

According to CMS data, Stephen Pacifico is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Pacifico was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.