DAVID M STEPIEN MD
NPI 1194103598
Plastic Surgery in Durham, NC
About David M Stepien Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID M STEPIEN MD (NPI 1194103598) is an individual plastic surgery provider in Durham, North Carolina, licensed in North Carolina (2023-02157) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David M Stepien 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.
Medicare Billing Reassignment
Medicare enrollment records show David Stepien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DURHAM, NC 27705
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 David Stepien's NPI number?
The NPI number for David Stepien is 1194103598. It was assigned to this individual provider in the NPPES registry on May 18, 2015.
Where is David Stepien located?
David Stepien practices at 3475 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 681-8555.
What is David Stepien's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is David Stepien enrolled in Medicare?
Yes. David Stepien 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.
Which organization bills Medicare for David Stepien's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Stepien reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Stepien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Stepien accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list David Stepien 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 David Stepien affiliated with any hospitals?
According to CMS data, David Stepien is affiliated with Duke University Hospital.
When was this NPI record last updated?
The NPPES record for David Stepien was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# David M Stepien, MD · NPI 1194103598
Plastic Surgery physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since May 18, 2015.
## Identity
- **NPI:** 1194103598 (Entity type: Individual)
- **Enumerated:** May 18, 2015
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 2023-02157 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3475 ERWIN RD, Durham, NC 27705-0005
- **Phone:** (919) 681-8555 · **Fax:** (919) 681-8704
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Duke Health Integrated Practice, Inc. (NPI 1205553369, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** August 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194103598) · Data from the CMS NPPES public registry.