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SUSAN STEFKO
NPI 1215902259
Specialist in Pittsburgh, PA

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
203 LOTHROP ST, 8TH FLOOR, EEINS, PITTSBURGH, PA 15213(412) 647-2214 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Stefko NPPES

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

SUSAN STEFKO (NPI 1215902259) is an individual specialist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD419255) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of University Of Pittsburgh School Of Medicine (1997).

NPPES Registry Identity

NPI1215902259
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSUSAN STEFKO
Location Address203 LOTHROP ST, 8TH FLOOR, EEINSPittsburgh, PA 15213-2548
Mailing Address203 Lothrop St, 8th Floor, EeinsPittsburgh, PA 15213-2548
Phone(412) 647-2214
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1997
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1215902259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD419255
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
203 LOTHROP ST, Pittsburgh, PA 15213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware 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

Susan Stefko 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 ID9436331790
PECOS Enrollment IDI20110308000115
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.

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.
80 services76 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.
29 services25 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
27 services20 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

ARIANA DESAI
Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-6461
LINDSEY SOLES PA
Otolaryngology
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2100
RITA HERSAN
Speech-Language Pathologist
203 LOTHROP ST, 500
PITTSBURGH, PA 15213
Allegheny County (412) 647-2130
BROOKE MARSHALL BROWNING PA-C
Physician Assistant (Medical)
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2200
MARY KATE SIMPSON CCC-SLP
Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-4524
GABRIELLE BONHOMME
Ophthalmology
203 LOTHROP ST, EEINS, 6TH, 7TH AND 8TH FLOORS
PITTSBURGH, PA 15213
Allegheny County (412) 647-2200
BRANDON T SMITH MD
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST, SUITE 300
PITTSBURGH, PA 15213
Allegheny County (412) 647-2100
MR. RICK J HYRE AUD
Specialist
203 LOTHROP ST, 500 EEINS
PITTSBURGH, PA 15213
Allegheny County (412) 647-2130

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 Susan Stefko's NPI number?

The NPI number for Susan Stefko is 1215902259. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Susan Stefko located?

Susan Stefko practices at 203 Lothrop St 8th Floor, Eeins, Pittsburgh, PA 15213. The listed phone number is (412) 647-2214.

What is Susan Stefko's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Susan Stefko enrolled in Medicare?

Yes. Susan Stefko 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 Susan Stefko accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Susan Stefko 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 Susan Stefko affiliated with any hospitals?

According to CMS data, Susan Stefko is affiliated with Upmc Mercy, Upmc St Margaret and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Susan Stefko was last updated on March 25, 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.