STEPHEN JEROME GUNTHER MD
NPI 1205942182
Internal Medicine - Cardiovascular Disease in Southfield, MI

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
26400 W 12 MILE RD, SUITE 120, SOUTHFIELD, MI 48034(248) 304-3200(248) 208-9907 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Jerome Gunther Md NPPES

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

STEPHEN JEROME GUNTHER MD (NPI 1205942182) is an individual cardiovascular disease provider in Southfield, Michigan, licensed in Michigan (048765) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Michigan College Of Medicine And Surgery (1984).

NPPES Registry Identity

NPI1205942182
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSTEPHEN JEROME GUNTHERCredential: MD
Location Address26400 W 12 MILE RD, SUITE 120Southfield, MI 48034-1700
Mailing Address26400 W 12 Mile Rd, Suite 120Southfield, MI 48034-1700 · (248) 304-3200 · Fax (248) 208-9907
Fax(248) 208-9907
Sole ProprietorYes
Medical School CMSMichigan College Of Medicine And SurgeryGraduated 1984
Enumeration DateAugust 22, 2006
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
NPI 1205942182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MI · 048765
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

26400 W 12 MILE RD, Southfield, MI 48034

Other Identifiers 1

Medicaid3490166MI

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 and accepts Medicare assignment

Stephen Jerome Gunther 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 ID2365586765
PECOS Enrollment IDI20100224000027
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 11

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.

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.
408 services180 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.
236 services159 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
67 services67 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
65 services65 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
36 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
96%97 patients4/55-star benchmark: 100%
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 20

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

Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Eyewear Supplier
26400 W 12 MILE RD, SUITE 60
SOUTHFIELD, MI 48034
Urology
26400 W 12 MILE RD, SUITE 70
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Ophthalmology
26400 W 12 MILE RD, STE 60
SOUTHFIELD, MI 48034
Specialist
26400 W 12 MILE RD, STE 38
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, SUITE 170
SOUTHFIELD, MI 48034
Preventive Medicine (Occupational Medicine)
26400 W 12 MILE RD, SUITE 111
SOUTHFIELD, MI 48034

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 Gunther's NPI number?

The NPI number for Stephen Gunther is 1205942182. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Stephen Gunther located?

Stephen Gunther practices at 26400 W 12 Mile Rd Suite 120, Southfield, MI 48034. The listed phone number is (248) 304-3200.

What is Stephen Gunther's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stephen Gunther enrolled in Medicare?

Yes. Stephen Gunther 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 Gunther accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Stephen Gunther 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 Gunther affiliated with any hospitals?

According to CMS data, Stephen Gunther is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital - Farmington Hills.

When was this NPI record last updated?

The NPPES record for Stephen Gunther was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.