1. Home
  2. Directory
  3. Florida
  4. Destin
  5. Internal Medicine
  6. NPI Profile

DR. STEPHEN R PHLAUM MD
NPI 1164460960
Internal Medicine - Cardiovascular Disease in Destin, FL

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
7720 US HIGHWAY 98 W, 350, DESTIN, FL 32550(850) 267-1603(850) 267-1862 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen R Phlaum Md NPPES

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

DR. STEPHEN R PHLAUM MD (NPI 1164460960) is an individual cardiovascular disease provider in Destin, Florida, licensed in Florida (ME94592) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1994).

NPPES Registry Identity

NPI1164460960
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. STEPHEN R PHLAUMCredential: MD
Location Address7720 US HIGHWAY 98 W, 350Destin, FL 32550-7230
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 475-4500 · Fax (850) 475-4619
Phone(850) 267-1603
Fax(850) 267-1862
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1994
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 17, 2010
✔ NPI 1164460960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME94592
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
7720 US HIGHWAY 98 W, Destin, FL 32550
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH17920FL
Medicare ID-Type Unspecified30975ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Stephen R Phlaum 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 ID4486616075
PECOS Enrollment IDI20231213003824
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 5

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
49 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
44 services43 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.
32 services26 patients
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.
25 services25 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32550 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
45%369 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
38%237 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
46%941 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,218 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,365 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%398 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%1,592 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%1,607 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,353 patients
Patients tobacco: 17% · 84 patients
86%1,353 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,592 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%1,592 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
35%1,592 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. SEAN M MCWILLIAMS MD
Otolaryngology
7720 US HIGHWAY 98 W, 370
DESTIN, FL 32550
Walton County (850) 622-5148
EKATERINA PAGE
Physician Assistant
7720 US HIGHWAY 98 W, STE 110
MIRAMAR BEACH, FL 32550
Walton County (850) 267-1603
MARINELLA FLAMINIA MONK M.D.
Physical Medicine & Rehabilitation
7720 US HIGHWAY 98 W, SUITE 300
DESTIN, FL 32550
Walton County (850) 622-9120
DR. CHRISTINA JOHANNA MORELOCK M.D.
Hospitalist
7720 US HIGHWAY 98 W, SUITE 100
MIRAMAR BEACH, FL 32550
Walton County (850) 267-1603
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
Dermatology
7720 US HIGHWAY 98 W, SUITE 340
MIRAMAR BEACH, FL 32550
Walton County (251) 631-3570
AARON TODD CREEK MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
7720 US HIGHWAY 98 W
MIRAMAR BEACH, FL 32550
Walton County (850) 290-2154
MARGARET HELEN TURK RUSSELL APRN
Nurse Practitioner
7720 US HIGHWAY 98 W, STE 110
MIRAMAR BEACH, FL 32550
Walton County (850) 267-1603
TAMI ELIZABETH HUSTON OT
Occupational Therapist
7720 US HIGHWAY 98 W
DESTIN, FL 32550
Walton County (850) 622-5192

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 Phlaum's NPI number?

The NPI number for Stephen Phlaum is 1164460960. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Stephen Phlaum located?

Stephen Phlaum practices at 7720 Us Highway 98 W 350, Destin, FL 32550. The listed phone number is (850) 267-1603.

What is Stephen Phlaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stephen Phlaum enrolled in Medicare?

Yes. Stephen Phlaum 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 Phlaum accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Stephen Phlaum 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 Phlaum was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.