Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEFAN LEO-NYQUIST DO
NPI 1114414265
Family Medicine in Fairbanks, AK

Q: What is Stefan Leo-nyquist's NPI number?

The NPI number for Stefan Leo-nyquist is 1114414265. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Q: What is Stefan Leo-nyquist's specialty?

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

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment

83.23/100

CMS Quality Rating

1717 W COWLES ST, FAIRBANKS, AK 99701(907) 451-6682(844) 278-9006 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2026, Apr 15, 2018 (2 updates tracked since 2018).

On this page

About Stefan Leo-nyquist Do NPPES

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

STEFAN LEO-NYQUIST DO (NPI 1114414265) is an individual family medicine provider in Fairbanks, Alaska, licensed in Alaska (187313) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2018).

NPPES Registry Identity

NPI1114414265

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSTEFAN LEO-NYQUISTCredential: DO

Location Address1717 W COWLES STFairbanks, AK 99701-5926

Mailing Address1717 W Cowles StFairbanks, AK 99701-5926 · (907) 451-6682 · Fax (844) 278-9006

Phone(907) 451-6682

Fax(844) 278-9006

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2018

Enumeration DateApril 15, 2018

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1114414265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AK · 187313✔ Licensed in OR · PG188468

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.

1717 W COWLES ST, Fairbanks, AK 99701

Open in Google Maps ↗

Other Identifiers 1

Medicaid1721751AK

Accepted Insurance

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

Stefan Leo-nyquist Do 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 ID3971852377

PECOS Enrollment IDI20231109000642

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 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.

289 services107 patients

Osteopathic manipulative treatment, 3-4 body regions 98926

Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.

152 services85 patients

Osteopathic manipulative treatment, 5-6 body regions 98927

Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.

95 services45 patients

Osteopathic manipulative treatment, 1-2 body regions 98925

Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose and treat illnesses. For 1-2 body regions, the doctor focuses on specific areas like your back or neck, using techniques to alleviate pain, restore function, and promote healing.

72 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

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.

83.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.2

Promoting Interoperability

100

Improvement Activities

Cost

50.24

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.

ANNE BURTNESS

Dietitian, Registered