DR. DONNA L STEPHENS M.D.
NPI 1376529503
Family Medicine in St Petersburg, FL

Q: What is Donna Stephens's NPI number?

The NPI number for Donna Stephens is 1376529503. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Q: What is Donna Stephens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donna Stephens was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2815 FIRST AVENUE NORTH, ST PETERSBURG, FL 33713(727) 321-9614(737) 323-7068 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Donna L Stephens M.d. NPPES

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

DR. DONNA L STEPHENS M.D. (NPI 1376529503) is an individual family medicine provider in St Petersburg, Florida, licensed in Florida (ME88883) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and is a graduate of University Of South Florida College Of Medicine (2001).

NPPES Registry Identity

NPI1376529503

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DONNA L STEPHENSCredential: M.D.

Location Address2815 FIRST AVENUE NORTHSt Petersburg, FL 33713-8603

Mailing Address2815 First Avenue NorthSt Petersburg, FL 33713-8603 · (727) 321-9614 · Fax (727) 323-7068

Phone(727) 321-9614

Fax(737) 323-7068

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2001

Enumeration DateDecember 20, 2005

Last NPPES UpdateApril 14, 2023

NPPES CertifiedApril 14, 2023

✔ NPI 1376529503 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 FL · ME88883

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 ListedSpecialistTaxonomy 174400000X · License ME88883 (FL)

2815 FIRST AVENUE NORTH, St Petersburg, FL 33713

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Other Identifiers 1

Medicaid270509500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donna L Stephens M.d. 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 ID3274511654

PECOS Enrollment IDI20040712000957

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 Reassignment

Medicare enrollment records show Donna Stephens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

E & S Family Medicine Physicians

Same address

Family Medicine

2815 1ST AVE N
St Petersburg, FL 33713

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1952479735 (727) 321-9614

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 13

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.

339 services200 patients

Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve G0513

Prolonged preventive service refers to an extended medical consultation or treatment beyond the usual time. This service, provided in an outpatient setting, involves direct patient contact for the first 30 minutes beyond the primary procedure. It's used when additional time is required to address preventive health needs.

186 services186 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

179 services179 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.

178 services178 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

171 services171 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.

68 services68 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.

63 services46 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

50 services18 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

43 services21 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

40 services35 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

28 services28 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

15 services15 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100032

Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County

Emergency services Birthing friendly

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100067

Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100180

Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Referred Medical Equipment & Supplies CMS DME claims

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

11 suppliers18 claims31 services$5.72 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

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

DR. JUAN A ESCOBALES M.D.

Internal Medicine (Hospice and Palliative Medicine)

2815 FIRST AVENUE NORTH
ST PETERSBURG, FL 33713

Pinellas County (727) 321-9614

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 Donna Stephens's NPI number?

The NPI number for Donna Stephens is 1376529503. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Donna Stephens located?

Donna Stephens practices at 2815 First Avenue North, St Petersburg, FL 33713. The listed phone number is (727) 321-9614.

What is Donna Stephens's specialty?

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

Is Donna Stephens enrolled in Medicare?

Yes. Donna 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.

Which organization bills Medicare for Donna Stephens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Stephens reassigns Medicare benefits to E & S Family Medicine Physicians (St Petersburg, FL). The 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 Donna Stephens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Stephens accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Donna 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 Donna Stephens affiliated with any hospitals?

According to CMS data, Donna Stephens is affiliated with Orlando Health Bayfront Hospital, St Anthonys Hospital, St Josephs Hospital, Morton Plant Hospital and Hca Florida St Petersburg Hospital.

When was this NPI record last updated?

The NPPES record for Donna Stephens was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.