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ANDREW MICHAEL STEGMAN PA
NPI 1104341122
Physician Assistant in Portsmouth, OH

Active since August 10, 2017PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1611 27TH ST STE 302, PORTSMOUTH, OH 45662(740) 356-6750(740) 356-7819 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Dec 17, 2020, Sep 4, 2020 and 1 more (4 updates tracked since 2017).

About Andrew Michael Stegman Pa NPPES

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

ANDREW MICHAEL STEGMAN PA (NPI 1104341122) is an individual physician assistant in Portsmouth, Ohio, licensed in Ohio (50.005183RX) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104341122
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW MICHAEL STEGMANCredential: PA
Location Address1611 27TH ST STE 302Portsmouth, OH 45662-6932
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Phone(740) 356-6750
Fax(740) 356-7819
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 10, 2017
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1104341122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.005183RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1611 27TH ST STE 302, Portsmouth, OH 45662
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Other Identifiers 1

Medicaid0238345OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Andrew Michael Stegman Pa 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 ID9032485677
PECOS Enrollment IDI20171025002983
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 4

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 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.
246 services159 patients
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.
120 services88 patients
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.
27 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Other Providers at the Same Location NPPES 3

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

AUGUSTO C JUGUILON M.D.
Psychiatry & Neurology (Neurology)
1611 27TH ST STE 302
PORTSMOUTH, OH 45662
Scioto County (740) 356-6750
ANGELA Y RACKLEY MD
Psychiatry & Neurology (Clinical Neurophysiology)
1611 27TH ST STE 302
PORTSMOUTH, OH 45662
Scioto County (740) 356-6750
LAURA SOVA FNP-C
Nurse Practitioner
1611 27TH ST STE 302
PORTSMOUTH, OH 45662
Scioto County (740) 356-6750

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 Andrew Stegman's NPI number?

The NPI number for Andrew Stegman is 1104341122. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Andrew Stegman located?

Andrew Stegman practices at 1611 27th St Ste 302, Portsmouth, OH 45662. The listed phone number is (740) 356-6750.

What is Andrew Stegman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Stegman enrolled in Medicare?

Yes. Andrew Stegman 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 Andrew Stegman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Andrew Stegman 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 Andrew Stegman affiliated with any hospitals?

According to CMS data, Andrew Stegman is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Stegman was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.