STEVE I CHANG MD
NPI 1295897569
Internal Medicine in New Berlin, WI

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
84.02/100
CMS Quality Rating
12555 W NATIONAL AVE STE 200, NEW BERLIN, WI 53151(262) 754-2555(262) 754-2552 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steve I Chang Md NPPES

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

STEVE I CHANG MD (NPI 1295897569) is an individual internal medicine provider in New Berlin, Wisconsin, licensed in Wisconsin (38648) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of New York University School Of Medicine (1994).

NPPES Registry Identity

NPI1295897569
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEVE I CHANGCredential: MD
Location Address12555 W NATIONAL AVE STE 200New Berlin, WI 53151
Mailing Address4555 W Schroeder Dr, #170Milwaukee, WI 53223-1475 · (414) 365-3210 · Fax (414) 365-3210
Fax(262) 754-2552
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1994
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 19, 2008
NPI 1295897569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 38648
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12555 W NATIONAL AVE STE 200, New Berlin, WI 53151

Other Identifiers 4

Medicare PIN000373285WI
Medicare PIN000068343WI
Medicare UPING47647
Medicaid32383100WI

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

Steve I Chang 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 ID1557360781
PECOS Enrollment IDI20061218000005
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 15

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
603 services191 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
600 services227 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
252 services221 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
153 services61 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
85 services78 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
60 services39 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

84.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.4
Promoting Interoperability91
Improvement Activities40
Cost42.26

Reported Quality Measures

Advance Care Plan
7%1,290 patients1/55-star benchmark: 100%
Breast Cancer Screening
54%28 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
66%79 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
87%86 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
59%29 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
59%29 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
9%3,714 patients1/55-star benchmark: 100%
e-Prescribing
96%324 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
6%1,188 patients1/55-star benchmark: 100%
HIV Screening
2%48 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
4%1,311 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,960 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 72% · 127 patients
62%127 patients
Provide Patients Electronic Access to Their Health Information
44%149 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%62 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,189 patients
Patients totalRate: 1% · 1,199 patients
1%1,199 patients4/55-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 28

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

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims172 services$5.31 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers14 claims226 services$3.13 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers13 claims360 services$7.16 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims360 services$2.76 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims13,373 services$0.22 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers24 claims24 services$41.85 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 3

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

Acupuncturist
12555 W NATIONAL AVE STE 200
NEW BERLIN, WI 53151
Nurse Practitioner
12555 W NATIONAL AVE STE 200
NEW BERLIN, WI 53151
Acupuncturist
12555 W NATIONAL AVE STE 200
NEW BERLIN, WI 53151

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 Steve Chang's NPI number?

The NPI number for Steve Chang is 1295897569. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Steve Chang located?

Steve Chang practices at 12555 W National Ave Ste 200, New Berlin, WI 53151. The listed phone number is (262) 754-2555.

What is Steve Chang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Steve Chang enrolled in Medicare?

Yes. Steve Chang 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 Steve Chang accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Steve Chang 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 Steve Chang affiliated with any hospitals?

According to CMS data, Steve Chang is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Steve Chang was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.