STEPHEN CRAIG FROHWEIN MD
NPI 1235138942
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5669 PEACHTREE DUNWOODY RD NE, SUITE 315, ATLANTA, GA 30342(678) 843-6400(678) 843-6405 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Craig Frohwein Md NPPES

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

STEPHEN CRAIG FROHWEIN MD (NPI 1235138942) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (034834) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Hahnemann University College Of Medicine (1988).

NPPES Registry Identity

NPI1235138942
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSTEPHEN CRAIG FROHWEINCredential: MD
Location Address5669 PEACHTREE DUNWOODY RD NE, SUITE 315Atlanta, GA 30342-1786
Mailing Address1838 American WayLawrenceville, GA 30043-6611 · (770) 995-7622 · Fax (770) 995-7854
Fax(678) 843-6405
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1988
Enumeration DateJuly 15, 2005
Last NPPES UpdateMarch 21, 2013
NPI 1235138942 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 GA · 034834
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.
5669 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342

Other Identifiers 7

Medicaid000479036RGA
Medicaid000479036UGA
Medicaid000479036TGA
Medicare UPINF06942GA
Medicaid000479036QGA
Medicaid000479036SGA
Medicare PIN202I068260GA

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 Craig Frohwein 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 ID5890871081
PECOS Enrollment IDI20080328000164
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 25

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.
584 services364 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.
420 services391 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.
266 services214 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.
161 services161 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.
152 services149 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.
120 services117 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$67.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery (Vascular Surgery)
5669 PEACHTREE DUNWOODY RD NE, SUITE 100
ATLANTA, GA 30342
Physician Assistant
5669 PEACHTREE DUNWOODY RD NE, SUITE 170
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
5669 PEACHTREE DUNWOODY RD NE, SUITE 315
ATLANTA, GA 30342
Surgery (Vascular Surgery)
5669 PEACHTREE DUNWOODY RD NE, SUITE 155
ATLANTA, GA 30342
Internal Medicine (Gastroenterology)
5669 PEACHTREE DUNWOODY RD NE, SUITE 210
ATLANTA, GA 30342
Specialist
5669 PEACHTREE DUNWOODY RD NE, SUITE 170
ATLANTA, GA 30342
Dermatology
5669 PEACHTREE DUNWOODY RD NE, SUITE 275
ATLANTA, GA 30342
Dentist (General Practice)
5669 PEACHTREE DUNWOODY RD NE, SUITE 265
ATLANTA, GA 30342

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 Frohwein's NPI number?

The NPI number for Stephen Frohwein is 1235138942. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Stephen Frohwein located?

Stephen Frohwein practices at 5669 Peachtree Dunwoody Rd NE Suite 315, Atlanta, GA 30342. The listed phone number is (678) 843-6400.

What is Stephen Frohwein's specialty?

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

Is Stephen Frohwein enrolled in Medicare?

Yes. Stephen Frohwein 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 Frohwein accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stephen Frohwein 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 Frohwein affiliated with any hospitals?

According to CMS data, Stephen Frohwein is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Stephen Frohwein was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.