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DR. EDRA LEA STERN MD
NPI 1164624557
Internal Medicine in Old Greenwich, CT

Active since June 05, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 07D2126562 · Waiver
1455 E PUTNAM AVE STE 2, OLD GREENWICH, CT 06870(203) 661-4242(203) 625-9626 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2019, Mar 1, 2017 (2 updates tracked since 2017).

About Dr. Edra Lea Stern Md NPPES

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

DR. EDRA LEA STERN MD (NPI 1164624557) is an individual internal medicine provider in Old Greenwich, Connecticut, licensed in Connecticut (047798) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 28, 2027, and is a graduate of Icahn School Of Medicine At Mount Sinai (2004).

NPPES Registry Identity

NPI1164624557
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDRA LEA STERNCredential: MD
Location Address1455 E PUTNAM AVE STE 2Old Greenwich, CT 06870-1360
Mailing Address1455 E Putnam Ave Ste 2Old Greenwich, CT 06870-1360 · (203) 661-4242 · Fax (203) 625-9626
Phone(203) 661-4242
Fax(203) 625-9626
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2004
Enumeration DateJune 5, 2007
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
✔ NPI 1164624557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 047798
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1455 E PUTNAM AVE STE 2, Old Greenwich, CT 06870
Open in Google Maps ↗

Other Identifiers 1

Medicaid004187466CT

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. Edra Lea Stern 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 ID6608920558
PECOS Enrollment IDI20090812000550
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2126562

Edra Stern MD LLC · Old Greenwich, CT
Active · expires Feb 28, 2027
CLIA Number07D2126562
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorEdra L. Stern
Laboratory Phone(203) 661-4242
Laboratory LocationEdra Stern MD LLC1455 East Putnam Ave, Old Greenwich, CT 06870
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
49 services49 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services48 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
25 services25 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06870 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%20 patients1/55-star benchmark: 85%
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…
22%51 patients1/55-star benchmark: 97%
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 4

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

NATALIYA SAVCHUK PT, DPT
Physical Therapist
1455 E PUTNAM AVE STE 2
OLD GREENWICH, CT 06870
Western Connecticut Planning Region (203) 817-0196
VICTOR HERNANDEZ
Physical Therapist
1455 E PUTNAM AVE STE 2
OLD GREENWICH, CT 06870
Western Connecticut Planning Region (203) 817-0196
TIMOTHY QUINLAN PT, DPT
Physical Therapist
1455 E PUTNAM AVE STE 2
OLD GREENWICH, CT 06870
Western Connecticut Planning Region (860) 430-8383
ALEXIS PISTONE PT, DPT
Physical Therapist
1455 E PUTNAM AVE STE 2
OLD GREENWICH, CT 06870
Western Connecticut Planning Region (203) 817-0196

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 Edra Stern's NPI number?

The NPI number for Edra Stern is 1164624557. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Edra Stern located?

Edra Stern practices at 1455 E Putnam Ave Ste 2, Old Greenwich, CT 06870. The listed phone number is (203) 661-4242.

What is Edra Stern's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edra Stern enrolled in Medicare?

Yes. Edra Stern 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.

Does Edra Stern hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2126562) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edra Stern was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.