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DR. ORLI STERN MD
NPI 1265881999
Family Medicine in Wheeling, WV

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
92.01/100
CMS Quality Rating
40 MEDICAL PARK STE 401, WHEELING, WV 26003(304) 243-7181 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Orli Stern Md NPPES

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

DR. ORLI STERN MD (NPI 1265881999) is an individual family medicine provider in Wheeling, West Virginia, licensed in Florida (ME141315) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265881999
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ORLI STERNCredential: MD
Location Address40 MEDICAL PARK STE 401Wheeling, WV 26003-6392
Mailing Address40 Medical Park Ste 401Wheeling, WV 26003-6392
Phone(304) 243-7181
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateJuly 25, 2019
✔ NPI 1265881999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME141315
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
40 MEDICAL PARK STE 401, Wheeling, WV 26003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Molina Healthcare 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

Dr. Orli Stern 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 ID1658666276
PECOS Enrollment IDI20191206002037
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.
251 services88 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.
74 services40 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.
67 services67 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.
44 services43 patients

Hospital Affiliations CMS Care Compare

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

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

92.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Improvement Activities40
Cost69.53

Referred Medical Equipment & Supplies CMS DME claims 2

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
1 supplier12 claims12 services$14.44 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
1 supplier12 claims12 services$72.18 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 17

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

RITIELY DELEON DO
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Ohio County (304) 243-3880
LUKE GRAY MD
Hospitalist
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Ohio County (304) 243-3880
ELISE CARTER
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401, JAMESON HOSPITAL
WHEELING, WV 26003
Ohio County (304) 243-3880
CARRIE GWENDOLINE PROCTOR
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Ohio County (304) 243-3880
DR. ORIANA BALASCIO DO
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Ohio County (304) 243-3880
SARTHAK PATEL MD
Hospitalist
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Ohio County (304) 243-3880
WHEELING HOSPITAL, INC.
Clinical Medical Laboratory
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Ohio County (304) 243-3880
MARK J ILLES MD
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Ohio County (304) 243-3880

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 Orli Stern's NPI number?

The NPI number for Orli Stern is 1265881999. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Orli Stern located?

Orli Stern practices at 40 Medical Park Ste 401, Wheeling, WV 26003. The listed phone number is (304) 243-7181.

What is Orli Stern's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Orli Stern enrolled in Medicare?

Yes. Orli Stern 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 Orli Stern accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Orli Stern 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 Orli Stern affiliated with any hospitals?

According to CMS data, Orli Stern is affiliated with Memorial Regional Hospital.

When was this NPI record last updated?

The NPPES record for Orli Stern was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.