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STEPHANIE MARIE POUCH M.D., M.S.
NPI 1164684379
Internal Medicine - Infectious Disease in Atlanta, GA

Active since June 29, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BUILDING, SUITE 2101, ATLANTA, GA 30322(404) 712-7988(404) 712-2278 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2020, Sep 19, 2017, Aug 30, 2017 (3 updates tracked since 2017).

About Stephanie Marie Pouch M.d., M.s. NPPES

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

STEPHANIE MARIE POUCH M.D., M.S. (NPI 1164684379) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (077760) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Temple University School Of Medicine (2007).

NPPES Registry Identity

NPI1164684379
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSTEPHANIE MARIE POUCHCredential: M.D., M.S.
Location Address101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BUILDING, SUITE 2101Atlanta, GA 30322
Mailing Address101 Woodruff Circle, Woodruff Memorial Research Building Suite 201Atlanta, GA 30322 · (404) 712-7988 · Fax (404) 712-2278
Phone(404) 712-7988
Fax(404) 712-2278
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2007
Enumeration DateJune 29, 2008
Last NPPES UpdateApril 14, 20203 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1164684379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in GA · 077760✔ Licensed in OH · 35123764
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License C6454 (IL)
101 WOODRUFF CIRCLE, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Stephanie Marie Pouch M.d., M.s. 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 ID4183803331
PECOS Enrollment IDI20170808002833
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
173 services39 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.
37 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

LAUREN NICOLE WILSON
Genetic Counselor, MS
101 WOODRUFF CIRCLE, SUITE 7130
ATLANTA, GA 30322
Dekalb County (404) 778-1014
DR. PAUL LU TSO M.D.
Transplant Surgery
101 WOODRUFF CIRCLE, ROOM 5105 WMB
ATLANTA, GA 30322
Dekalb County (404) 727-9942
DANA GABRIELLE PENFOLD
Internal Medicine
101 WOODRUFF CIRCLE, WMB SUITE 1105
ATLANTA, GA 30322
Dekalb County (404) 727-3585
HANNAH KATHRYN DAVIS MMSC
Genetic Counselor, MS
101 WOODRUFF CIRCLE
ATLANTA, GA 30322
Dekalb County (678) 628-4420
JAMES C. ZIMRING M.D., PH.D.
Pathology (Clinical Pathology/Laboratory Medicine)
101 WOODRUFF CIRCLE, SUITE 7301
ATLANTA, GA 30322
Dekalb County (404) 712-2174
EMILY SCHEPERS MD
Surgery
101 WOODRUFF CIRCLE, WMB STE 51505
ATLANTA, GA 30322
Dekalb County (855) 366-7989
JOHN D. ROBACK M.D., PH.D.
Pathology (Blood Banking & Transfusion Medicine)
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BLDG., ROOM 7313
ATLANTA, GA 30322
Dekalb County (404) 712-1774
KENNETH A NEWELL MD PHD
Surgery
101 WOODRUFF CIRCLE, WMB RM 5105
ATLANTA, GA 30322
Dekalb County (404) 727-2489

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 Stephanie Pouch's NPI number?

The NPI number for Stephanie Pouch is 1164684379. It was assigned to this individual provider in the NPPES registry on June 29, 2008.

Where is Stephanie Pouch located?

Stephanie Pouch practices at 101 Woodruff Circle Woodruff Memorial Research Building, Suite 2101, Atlanta, GA 30322. The listed phone number is (404) 712-7988.

What is Stephanie Pouch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Stephanie Pouch enrolled in Medicare?

Yes. Stephanie Pouch 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 Stephanie Pouch accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stephanie Pouch 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 Stephanie Pouch affiliated with any hospitals?

According to CMS data, Stephanie Pouch is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Stephanie Pouch was last updated on April 14, 2020. 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.