DR. STEPHEN K BADOLATO MD
NPI 1194728832
Family Medicine - Sports Medicine in Melbourne, FL

Q: What is Stephen Badolato's NPI number?

The NPI number for Stephen Badolato is 1194728832. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Q: What is Stephen Badolato's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Badolato was last updated on October 22, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

6300 N WICKHAM RD, STE 101 -108, MELBOURNE, FL 32940(321) 253-2169(321) 253-1720 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Stephen K Badolato Md NPPES

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

DR. STEPHEN K BADOLATO MD (NPI 1194728832) is an individual sports medicine provider in Melbourne, Florida, licensed in Florida (ME78710) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Melbourne Regional Medical Center, and is a graduate of University Of South Florida College Of Medicine (1997).

NPPES Registry Identity

NPI1194728832

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. STEPHEN K BADOLATOCredential: MD

Location Address6300 N WICKHAM RD, STE 101 -108Melbourne, FL 32940-2028

Mailing Address247 Lansing Island DrIndian Harbour Beach, FL 32937-5102 · (321) 253-2169

Phone(321) 253-2169

Fax(321) 253-1720

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1997

Enumeration DateMay 26, 2005

Last NPPES UpdateOctober 22, 2007

✔ NPI 1194728832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in FL · ME78710

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

6300 N WICKHAM RD, Melbourne, FL 32940

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Other Identifiers 2

Medicare ID-Type Unspecified01848AFL

Medicare UPINH48987FL

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), Health First Commercial Plans, Inc. 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

Dr. Stephen K Badolato 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 ID7810085610

PECOS Enrollment IDI20071112000588

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 17

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

1,176 services18 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

906 services138 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

782 services437 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

194 services141 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.

163 services139 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

154 services94 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

120 services72 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

88 services24 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

55 services55 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

54 services12 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.

46 services46 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

25 services25 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

22 services11 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100291

Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County

Emergency services

Viera Hospital

Acute Care Hospitals · Melbourne, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100315

Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32940 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers18 claims18 services$10.95 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers14 claims80 services$1.75 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims279 services$2.70 avg. paid by Medicare

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849

DME-Other DME · category DE000N

1 supplier12 claims12 services$40.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

SARA JANE SENGEL PA

Physician Assistant

6300 N WICKHAM RD, SUITE 101
MELBOURNE, FL 32940

Brevard County (321) 253-2169

PHYSICAL REHAB AND MEDICAL ASSOCIATES INC

Physical Therapist

6300 N WICKHAM RD, #116
MELBOURNE, FL 32940

Brevard County (321) 757-6899

WALTER H JOYNER PA

Physician Assistant

6300 N WICKHAM RD, SUITE 101-108
MELBOURNE, FL 32940

Brevard County (321) 253-2169

DAVID W BADOLATO MD

Family Medicine

6300 N WICKHAM RD, STE 101
MELBOURNE, FL 32940

Brevard County (321) 253-2169

LORDONI DISCOUNT PHARMACY INC

Pharmacy (Community/Retail Pharmacy)

6300 N WICKHAM RD, SUITE 126
MELBOURNE, FL 32940

Brevard County (321) 610-3114

DR. KARL DAVID JOHANNESSEN OD

Optometrist

6300 N WICKHAM RD, UNIT 123
MELBOURNE, FL 32940

Brevard County (321) 751-7270

ELIZABETH EVANS JENKS

Hearing Instrument Specialist

6300 N WICKHAM RD
MELBOURNE, FL 32940

Brevard County (772) 571-3331

MRS. LISA FRIER COBBS MSN, ARNP, FNP-C

Nurse Practitioner

6300 N WICKHAM RD, STE. 132
MELBOURNE, FL 32940

Brevard County (321) 253-4032

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 Badolato's NPI number?

The NPI number for Stephen Badolato is 1194728832. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Where is Stephen Badolato located?

Stephen Badolato practices at 6300 N Wickham Rd Ste 101 -108, Melbourne, FL 32940. The listed phone number is (321) 253-2169.

What is Stephen Badolato's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Stephen Badolato enrolled in Medicare?

Yes. Stephen Badolato 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 Badolato accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Stephen Badolato 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 Stephen Badolato affiliated with any hospitals?

According to CMS data, Stephen Badolato is affiliated with Melbourne Regional Medical Center and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Badolato was last updated on October 22, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.