FRANKO STEPCIC MD
NPI 1215925698
Psychiatry & Neurology - Neurology in Berlin, MD

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
10231 OLD OCEAN CITY BLVD, SUITE 101, BERLIN, MD 21811(410) 641-2220(410) 629-0348 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Franko Stepcic Md NPPES

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

FRANKO STEPCIC MD (NPI 1215925698) is an individual neurology provider in Berlin, Maryland, licensed in Maryland (D0056456) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1215925698
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameFRANKO STEPCICCredential: MD
Location Address10231 OLD OCEAN CITY BLVD, SUITE 101Berlin, MD 21811-3566
Mailing Address10231 Old Ocean City Blvd, Suite 101Berlin, MD 21811-3566 · (410) 641-2220 · Fax (410) 629-0348
Fax(410) 629-0348
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 21, 2015
NPI 1215925698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MD · D0056456
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
10231 OLD OCEAN CITY BLVD, Berlin, MD 21811

Other Identifiers 2

Medicare ID-Type Unspecified995L652EMD
Medicare UPING81335MD

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

Franko Stepcic 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 ID6507946142
PECOS Enrollment IDI20101227000452
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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
564 services264 patients
Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
240 services21 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.
100 services89 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
96 services55 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
88 services88 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
43 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.25
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%417 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 17

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

Nurse Practitioner (Obstetrics & Gynecology)
10231 OLD OCEAN CITY BLVD, SUITE 210
BERLIN, MD 21811
Urology
10231 OLD OCEAN CITY BLVD, SUITE 206
BERLIN, MD 21811
Internal Medicine (Infectious Disease)
10231 OLD OCEAN CITY BLVD, SUITE 210
BERLIN, MD 21811
Pharmacist
10231 OLD OCEAN CITY BLVD, SUITE 103, JAMES G. BARRETT MEDICAL BLDG
BERLIN, MD 21811
Pharmacy (Home Infusion Therapy Pharmacy)
10231 OLD OCEAN CITY BLVD, SUITE 209
BERLIN, MD 21811
Ophthalmology
10231 OLD OCEAN CITY BLVD, SUITE 102
BERLIN, MD 21811
Physical Therapist
10231 OLD OCEAN CITY BLVD
BERLIN, MD 21811
Physical Therapist
10231 OLD OCEAN CITY BLVD, SUITE 101
BERLIN, MD 21811

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 Franko Stepcic's NPI number?

The NPI number for Franko Stepcic is 1215925698. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Franko Stepcic located?

Franko Stepcic practices at 10231 Old Ocean City Blvd Suite 101, Berlin, MD 21811. The listed phone number is (410) 641-2220.

What is Franko Stepcic's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Franko Stepcic enrolled in Medicare?

Yes. Franko Stepcic 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.

Is Franko Stepcic affiliated with any hospitals?

According to CMS data, Franko Stepcic is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Franko Stepcic was last updated on July 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.