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

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment
83.23/100
CMS Quality Rating
1919 LATHROP ST, FAIRBANKS, AK 99701(907) 458-2619(907) 374-1089 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Address1919 LATHROP STFairbanks, AK 99701-5937
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (907) 458-2619 · Fax (907) 374-1089
Phone(907) 458-2619
Fax(907) 374-1089
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2018
Enumeration DateApril 15, 2018
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 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.
1919 LATHROP ST, Fairbanks, AK 99701
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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
Quality77.2
Promoting Interoperability100
Improvement Activities40
Cost50.24

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.

EYE CLINIC OF FAIRBANKS, INC
Ophthalmology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7760
FAIRBANKS ORTHODONTIC GROUP A PROF CORP
Dentist (Orthodontics and Dentofacial Orthopedics)
1919 LATHROP ST, SUITE 102
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-2939
EAR NOSE & THROAT CLINIC INC.
Otolaryngology
1919 LATHROP ST, SUITE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-7768
MRS. SHANNON KAY RHOTON MSN, FNP-BC
Nurse Practitioner (Family)
1919 LATHROP ST, SUITE 217
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-8191
PRESCRIPTION CENTER LLC
Pharmacy (Community/Retail Pharmacy)
1919 LATHROP ST, SUITE 109
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1514
STARKS MD LLC
Internal Medicine
1919 LATHROP ST, STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-4822
DAVID BOYD ATC
Specialist/Technologist (Athletic Trainer)
1919 LATHROP ST, SUITE 123
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-4401
MS. SHERI D SCHOENBERG PT
Physical Therapist
1919 LATHROP ST, STE 123, MEDICAL AND DENTAL ARTS BUILDING
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 445-4401

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 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.

Where is Stefan Leo-nyquist located?

Stefan Leo-nyquist practices at 1919 Lathrop St, Fairbanks, AK 99701. The listed phone number is (907) 458-2619.

What is Stefan Leo-nyquist's specialty?

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

Is Stefan Leo-nyquist enrolled in Medicare?

Yes. Stefan Leo-nyquist 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 Stefan Leo-nyquist accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Stefan Leo-nyquist 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 Stefan Leo-nyquist was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.