DR. TIMOTHY TRACEY STEPHENS MD
NPI 1265922983
Emergency Medicine in Marion, OH

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 MCKINLEY PARK DR, MARION, OH 43302(260) 492-3727 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2023, Mar 2, 2022, May 17, 2018 (3 updates tracked since 2018).

About Dr. Timothy Tracey Stephens Md NPPES

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

DR. TIMOTHY TRACEY STEPHENS MD (NPI 1265922983) is an individual emergency medicine provider in Marion, Ohio, licensed in Ohio (35.143986) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1265922983
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TIMOTHY TRACEY STEPHENSCredential: MD
Location Address1000 MCKINLEY PARK DRMarion, OH 43302-6399
Mailing Address9436 Arundel RunFort Wayne, IN 46835-9115
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
NPI 1265922983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in OH · 35.143986 Licensed in NY · 322939
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License P10277 (NY)
1000 MCKINLEY PARK DR, Marion, OH 43302

Secondary Practice Location 1

Location 12432 Grand ConcourseBronx, NY 10458-5204 · Phone (260) 492-3727

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

Dr. Timothy Tracey Stephens 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 ID8527453471
PECOS Enrollment IDI20241010000190
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
131 services127 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
106 services103 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
1000 MCKINLEY PARK DR
MARION, OH 43302
Social Worker (Clinical)
1000 MCKINLEY PARK DR
MARION, OH 43302
Counselor (Professional)
1000 MCKINLEY PARK DR
MARION, OH 43302
Internal Medicine
1000 MCKINLEY PARK DR
MARION, OH 43302
Physician Assistant
1000 MCKINLEY PARK DR
MARION, OH 43302
Social Worker (Clinical)
1000 MCKINLEY PARK DR
MARION, OH 43302
Anesthesiology
1000 MCKINLEY PARK DR
MARION, OH 43302
Emergency Medicine
1000 MCKINLEY PARK DR
MARION, OH 43302

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 Timothy Stephens's NPI number?

The NPI number for Timothy Stephens is 1265922983. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Timothy Stephens located?

Timothy Stephens practices at 1000 Mckinley Park Dr, Marion, OH 43302. The listed phone number is (260) 492-3727.

What is Timothy Stephens's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Stephens enrolled in Medicare?

Yes. Timothy Stephens 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 Timothy Stephens accept?

Health plans from CareSource list Timothy Stephens 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 Timothy Stephens affiliated with any hospitals?

According to CMS data, Timothy Stephens is affiliated with Scotland Memorial Hospital, Blue Ridge Healthcare Hospitals, Inc and Trinity Medical Ctr East &trinity Medical Ctr West.

When was this NPI record last updated?

The NPPES record for Timothy Stephens was last updated on July 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.