JOHN ANDREW STEIN M.D.
NPI 1174581904
Family Medicine in Bucyrus, OH

Active since May 02, 2006PECOS Enrolled
85.17/100
CMS Quality Rating
629 N SANDUSKY AVE, BUCYRUS, OH 44820(419) 562-4677(419) 562-0987 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Andrew Stein M.d. NPPES

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

JOHN ANDREW STEIN M.D. (NPI 1174581904) is an individual family medicine provider in Bucyrus, Ohio, licensed in Ohio (35.073529) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174581904
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN ANDREW STEINCredential: M.D.
Location Address629 N SANDUSKY AVEBucyrus, OH 44820-1821
Mailing Address4750 Hempstead Station DrKettering, OH 45429-5164 · (800) 875-0136 · Fax (937) 619-4231
Fax(419) 562-0987
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1174581904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OH · 35.073529 Licensed in OH · 35073529S
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.073529 (OH), 35073529 (OH)
629 N SANDUSKY AVE, Bucyrus, OH 44820

Other Identifiers 6

Other000000316697OH · Bcbs For Bucyrus
OtherP00088844Rr Medicare For Bucyrus
Other000000246014OH · Bcbs Marion
Other000000384399Bcbs
Medicaid2127693OH
Other930117503OH · Rr Medicare Marion

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Andrew Stein M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
105 services101 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
104 services94 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
87 services83 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
70 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44820 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.92
Improvement Activities40

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.

Internal Medicine
629 N SANDUSKY AVE
BUCYRUS, OH 44820
Emergency Medicine
629 N SANDUSKY AVE
BUCYRUS, OH 44820
Nurse Practitioner
629 N SANDUSKY AVE
BUCYRUS, OH 44820
Clinic/Center (Rural Health)
629 N SANDUSKY AVE
BUCYRUS, OH 44820
Emergency Medicine
629 N SANDUSKY AVE
BUCYRUS, OH 44820
Nurse Practitioner (Family)
629 N SANDUSKY AVE
BUCYRUS, OH 44820
General Acute Care Hospital (Critical Access)
629 N SANDUSKY AVE
BUCYRUS, OH 44820
Family Medicine
629 N SANDUSKY AVE
BUCYRUS, OH 44820

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 John Stein's NPI number?

The NPI number for John Stein is 1174581904. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is John Stein located?

John Stein practices at 629 N Sandusky Ave, Bucyrus, OH 44820. The listed phone number is (419) 562-4677.

What is John Stein's specialty?

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

Is John Stein enrolled in Medicare?

Yes. John Stein is registered in the Medicare PECOS enrollment system.

What insurance does John Stein accept?

Health plans from CareSource, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list John Stein 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 John Stein was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.