ADAM M STEPHENSON DO
NPI 1316231962
Family Medicine in Newcastle, WA

Active since May 31, 2011PECOS EnrolledAccepts Medicare Assignment
7203 129TH AVE SE, STE 100, NEWCASTLE, WA 98056(425) 690-3455(425) 690-9455 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Adam M Stephenson Do NPPES

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

ADAM M STEPHENSON DO (NPI 1316231962) is an individual family medicine provider in Newcastle, Washington, licensed in Washington (OP60384411) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1316231962
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM M STEPHENSONCredential: DO
Location Address7203 129TH AVE SE, STE 100Newcastle, WA 98056-1412
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057 · (425) 690-2715
Fax(425) 690-9455
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 31, 2011
Last NPPES UpdateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
NPI 1316231962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP60384411
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.
Also ListedHospitalistTaxonomy 208M00000X · License OP60384411 (WA)
7203 129TH AVE SE, Newcastle, WA 98056

Other Identifiers 2

OtherG8930792WA · Medicare W Valley Medical Group - Renton
Medicaid2020726WA

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

Adam M Stephenson Do 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 ID7315164829
PECOS Enrollment IDI20140806002692
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 5

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.
137 services89 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 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.
48 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98056 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers28 claims45 services$5.42 avg. paid by Medicare
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$12.56 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$56.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers34 claims34 services$209.94 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 8

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

Family Medicine
7203 129TH AVE SE
NEWCASTLE, WA 98056
Nurse Practitioner (Family)
7203 129TH AVE SE
NEWCASTLE, WA 98056
Family Medicine (Adult Medicine)
7203 129TH AVE SE, SUITE 100
NEWCASTLE, WA 98056
Family Medicine
7203 129TH AVE SE, STE 100
NEWCASTLE, WA 98056
Internal Medicine
7203 129TH AVE SE, STE 100
NEWCASTLE, WA 98056
Family Medicine
7203 129TH AVE SE, STE 200
NEWCASTLE, WA 98056
Family Medicine
7203 129TH AVE SE, STE 200
NEWCASTLE, WA 98056
Internal Medicine
7203 129TH AVE SE, SUITE 200
NEWCASTLE, WA 98056

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 Adam Stephenson's NPI number?

The NPI number for Adam Stephenson is 1316231962. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Adam Stephenson located?

Adam Stephenson practices at 7203 129th Ave SE Ste 100, Newcastle, WA 98056. The listed phone number is (425) 690-3455.

What is Adam Stephenson's specialty?

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

Is Adam Stephenson enrolled in Medicare?

Yes. Adam Stephenson 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 Adam Stephenson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Adam Stephenson 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 Adam Stephenson affiliated with any hospitals?

According to CMS data, Adam Stephenson is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Stephenson was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.