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MARK ABIAH STEPHEN D.O.
NPI 1275912495
Family Medicine in Fresh Meadows, NY

Active since May 20, 2015PECOS Enrolled
99.95/100
CMS Quality Rating
18507 64TH AVE BSMT MEDICAL, FRESH MEADOWS, NY 11365(347) 368-6222(347) 368-6291 Get Directions Write a Review

NPPES record last updated: December 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 25, 2024, Mar 25, 2020, Mar 17, 2020 (3 updates tracked since 2020).

About Mark Abiah Stephen D.o. NPPES

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

MARK ABIAH STEPHEN D.O. (NPI 1275912495) is an individual family medicine provider in Fresh Meadows, New York, licensed in New York (290169) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1275912495
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK ABIAH STEPHENCredential: D.O.
Location Address18507 64TH AVE BSMT MEDICALFresh Meadows, NY 11365-2707
Mailing Address18507 64th Ave Bsmt MedicalFresh Meadows, NY 11365-2707 · (347) 368-6222 · Fax (347) 368-6291
Phone(347) 368-6222
Fax(347) 368-6291
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 20, 2015
Last NPPES UpdateDecember 25, 20243 updates tracked since enumeration
NPPES CertifiedDecember 25, 2024
✔ NPI 1275912495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 290169
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.
18507 64TH AVE BSMT MEDICAL, Fresh Meadows, NY 11365
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Secondary Practice Location 1

Location 111120 Merrick BlvdJamaica, NY 11433-4016 · Phone (718) 206-9888 · Fax (718) 206-3033

Other Identifiers 1

Medicaid1275912495NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Abiah Stephen D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618226895
PECOS Enrollment IDI20180821003059
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mark Stephen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stephen Medical, PLLC
Same address
Family Medicine
18507 64TH AVE BSMT MEDICAL
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
NPI 1457161614 (347) 368-6222
Jamaica Hospital
3.0 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918
Montefiore Medical Center
10 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Lawrence Medical Associates, PC
14 mi
Emergency Medicine
55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708
  • Reassigned Medicare billing, New York enrollment
  • 531 clinicians in this Medicare group
NPI 1497260806 (914) 787-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
63 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

Other Providers at the Same Location NPPES

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

STEPHEN MEDICAL, PLLC
Family Medicine
18507 64TH AVE BSMT MEDICAL
FRESH MEADOWS, NY 11365
Queens County (347) 368-6222

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 Mark Stephen's NPI number?

The NPI number for Mark Stephen is 1275912495. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Mark Stephen located?

Mark Stephen practices at 18507 64th Ave Bsmt Medical, Fresh Meadows, NY 11365. The listed phone number is (347) 368-6222.

What is Mark Stephen's specialty?

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

Is Mark Stephen enrolled in Medicare?

Yes. Mark Stephen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Stephen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Stephen reassigns Medicare benefits to 4 organizations: Stephen Medical, PLLC (Fresh Meadows, NY), Jamaica Hospital (Jamaica, NY), Montefiore Medical Center (New York, NY) and Lawrence Medical Associates, PC (Bronxville, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Stephen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Stephen affiliated with any hospitals?

According to CMS data, Mark Stephen is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Stephen was last updated on December 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.