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DR. STEPHEN A EDLING M.D.
NPI 1255300828
Hospitalist in Louisville, KY

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3950 KRESGE WAY, SUITE 203, LOUISVILLE, KY 40207(502) 895-8911(502) 895-8977 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen A Edling M.d. NPPES

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

DR. STEPHEN A EDLING M.D. (NPI 1255300828) is an individual hospitalist provider in Louisville, Kentucky, licensed in Kentucky (38614) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (2000).

NPPES Registry Identity

NPI1255300828
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. STEPHEN A EDLINGCredential: M.D.
Location Address3950 KRESGE WAY, SUITE 203Louisville, KY 40207-4637
Mailing Address3950 Kresge Way, Suite 203Louisville, KY 40207-4637 · (502) 895-8911 · Fax (502) 895-8977
Phone(502) 895-8911
Fax(502) 895-8977
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2000
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1255300828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · 38614
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
3950 KRESGE WAY, Louisville, KY 40207
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Other Identifiers 5

OtherP00148914KY · Railroad Medicare
Medicaid64087752KY
Other50004756KY · Passport
Medicare UPINI11593KY
Medicare PIN0678116KY

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 A Edling M.d. 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 ID446223978
PECOS Enrollment IDI20040813000698
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 4

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.

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.
483 services224 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
483 services272 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
184 services180 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
166 services166 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%461 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers44 claims44 services$14.34 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$3.72 avg. paid by Medicare
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
2 suppliers44 claims44 services$62.40 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.

CINDY J CODE M.D.
Internal Medicine
3950 KRESGE WAY, SUITE 303
LOUISVILLE, KY 40207
Jefferson County (502) 896-1880
BAPTIST HEALTH MEDICAL GROUP INC
Internal Medicine (Gastroenterology)
3950 KRESGE WAY, SUITE 207
LOUISVILLE, KY 40207
Jefferson County (502) 893-0220
MR. MICHAEL V. GREENWELL MD
Internal Medicine (Gastroenterology)
3950 KRESGE WAY, STE 207
LOUISVILLE, KY 40207
Jefferson County (502) 893-0220
DR. PATRICK DALTON BAUMANN M.D.
Internal Medicine
3950 KRESGE WAY, #308
LOUISVILLE, KY 40207
Jefferson County (502) 895-8911
MICHAEL WILLIAM DEE MD
Internal Medicine
3950 KRESGE WAY, SUITE 104
LOUISVILLE, KY 40207
Jefferson County (502) 896-8028
STACEY WARING MD
Internal Medicine
3950 KRESGE WAY, SUITE 303
LOUISVILLE, KY 40207
Jefferson County (502) 896-6696
ILDIKO G. MIKOS MD, PSC
Surgery (Plastic and Reconstructive Surgery)
3950 KRESGE WAY, SUITE 103
LOUISVILLE, KY 40207
Jefferson County (502) 899-3511
RAYMOND E. PIERCE,JR.,M.D.,P.S.C.
Colon & Rectal Surgery
3950 KRESGE WAY, SUITE 201
LOUISVILLE, KY 40207
Jefferson County (502) 895-3633

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 Edling's NPI number?

The NPI number for Stephen Edling is 1255300828. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Stephen Edling located?

Stephen Edling practices at 3950 Kresge Way Suite 203, Louisville, KY 40207. The listed phone number is (502) 895-8911.

What is Stephen Edling's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Stephen Edling enrolled in Medicare?

Yes. Stephen Edling 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 Stephen Edling affiliated with any hospitals?

According to CMS data, Stephen Edling is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Stephen Edling was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.