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STEPHEN J CARNEY M.D.
NPI 1356451488
Family Medicine in Burlingame, CA

Active since August 30, 2006PECOS Enrolled
87.76/100
CMS Quality Rating
1860 EL CAMINO REAL, STE 236, BURLINGAME, CA 94010(650) 651-7112(650) 689-5271 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2020, Dec 13, 2019 (2 updates tracked since 2019).

About Stephen J Carney M.d. NPPES

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

STEPHEN J CARNEY M.D. (NPI 1356451488) is an individual family medicine provider in Burlingame, California, licensed in California (G61092) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356451488
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN J CARNEYCredential: M.D.
Location Address1860 EL CAMINO REAL, STE 236Burlingame, CA 94010-3111
Mailing Address1860 El Camino Real, Ste 236Burlingame, CA 94010-3111 · (650) 651-7112 · Fax (650) 689-5271
Phone(650) 651-7112
Fax(650) 689-5271
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1356451488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G61092
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.
1860 EL CAMINO REAL, Burlingame, CA 94010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen J Carney M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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.
400 services232 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.
343 services199 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.
219 services219 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.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost59.22

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
82%22 patients4/55-star benchmark: 100%
Breast Cancer Screening
87%95 patients4/55-star benchmark: 93%
Cervical Cancer Screening
61%69 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
10%244 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
68%491 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
92%348 patients5/55-star benchmark: 91%
Diabetes: Eye Exam
71%66 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%66 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%2,195 patients3/55-star benchmark: 100%
e-Prescribing
99%3,994 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%515 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%877 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
5%739 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%967 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 803 patients
Patients screened: 88% · 803 patients
24%29 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%912 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 16% · 522 patients
Patients totalRate: 18% · 522 patients
14%522 patients3/55-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 3

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
6 suppliers18 claims46 services$6.30 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
3 suppliers24 claims25 services$9.11 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.12 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 20

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

PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
1860 EL CAMINO REAL, SUITE 201
BURLINGAME, CA 94010
San Mateo County (650) 259-8009
DR. JENNIFER HONG CHEW DDS
Dentist
1860 EL CAMINO REAL, 305
BURLINGAME, CA 94010
San Mateo County (650) 692-5600
HEALTH DIAGNOSTICS OF CALIFORNIA LLC
Clinic/Center (Radiology)
1860 EL CAMINO REAL, SUITE 101
BURLINGAME, CA 94010
San Mateo County (650) 552-0700
SHIRLEY EIGENBROT LCSW, MAC
Social Worker (Clinical)
1860 EL CAMINO REAL, SUITE 310
BURLINGAME, CA 94010
San Mateo County (650) 455-3121
CHEW & FINONES, DDS, INC.
Dentist (General Practice)
1860 EL CAMINO REAL, SUITE 305
BURLINGAME, CA 94010
San Mateo County (650) 692-5600
DANIEL CORKISH PT
Physical Therapist (Sports)
1860 EL CAMINO REAL, STE 420
BURLINGAME, CA 94010
San Mateo County (650) 697-2376
LAKOWSKY & BATLIN MEDICAL CORP
Clinic/Center (Primary Care)
1860 EL CAMINO REAL, STE 321
BURLINGAME, CA 94010
San Mateo County (650) 552-8180
DR. EMILY KAUFMAN PSY.D.
Psychologist (Clinical)
1860 EL CAMINO REAL, SUITE 310
BURLINGAME, CA 94010
San Mateo County (650) 730-3745

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 Stephen Carney's NPI number?

The NPI number for Stephen Carney is 1356451488. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Stephen Carney located?

Stephen Carney practices at 1860 El Camino Real Ste 236, Burlingame, CA 94010. The listed phone number is (650) 651-7112.

What is Stephen Carney's specialty?

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

Is Stephen Carney enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephen Carney was last updated on August 13, 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.