NICK STEFANOVSKI MD
NPI 1376546358
Orthopaedic Surgery in Erie, PA

Q: What is Nick Stefanovski's NPI number?

The NPI number for Nick Stefanovski is 1376546358. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Nick Stefanovski's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nick Stefanovski was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 24, 2005PECOS EnrolledAccepts Medicare Assignment

79.55/100

CMS Quality Rating

100 PEACH ST STE 400, ERIE, PA 16507(814) 877-9100(814) 454-8470 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2021, Nov 19, 2019, Nov 1, 2018 (3 updates tracked since 2018).

On this page

About Nick Stefanovski Md NPPES

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

NICK STEFANOVSKI MD (NPI 1376546358) is an individual orthopaedic surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD039774E) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Temple University School Of Medicine (1986).

NPPES Registry Identity

NPI1376546358

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameNICK STEFANOVSKICredential: MD

Location Address100 PEACH ST STE 400Erie, PA 16507-1423

Mailing Address100 Peach St Ste 400Erie, PA 16507-1423 · (814) 877-9100 · Fax (814) 454-8470

Phone(814) 877-9100

Fax(814) 454-8470

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1986

Enumeration DateMay 24, 2005

Last NPPES UpdateJune 11, 20213 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1376546358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in PA · MD039774E

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

100 PEACH ST STE 400, Erie, PA 16507

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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 and accepts Medicare assignment

Nick Stefanovski 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 ID4880672369

PECOS Enrollment IDI20101216000018

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 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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

1,216 services151 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.

317 services232 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

243 services151 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

220 services153 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

175 services152 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

98 services98 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

81 services71 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

46 services40 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

36 services30 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

20 services20 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

19 services19 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

16 services16 patients

X-ray of both hips, 2 views 73521

An X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330239

Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County

Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390063

Location201 State StreetErie, PA 16550 · Erie County

Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390146

LocationTwo Crescent Park WestWarren, PA 16365 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

79.55/100

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

Scored as part of a group practice

Quality

64.36

Promoting Interoperability

100

Improvement Activities

Cost

67.48

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

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 2

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier12 claims12 services$11.58 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

2 suppliers17 claims264 services$21.81 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.

JESSICA BOURKE

Physician Assistant

100 PEACH ST STE 400, SUITE 400
ERIE, PA 16507

Erie County (814) 454-8287

BRIAN ZIMMERMAN

Physician Assistant

100 PEACH ST STE 400, SUITE 400
ERIE, PA 16507

Erie County (814) 877-9100

BRIAN STILL M.D.

Orthopaedic Surgery (Sports Medicine)

100 PEACH ST STE 400
ERIE, PA 16507

Erie County (814) 877-9100

D PATRICK WILLIAMS DO

Orthopaedic Surgery (Hand Surgery)

100 PEACH ST STE 400
ERIE, PA 16507

Erie County (814) 877-9100

SEAN J CUNNINGHAM PA-C

Physician Assistant

100 PEACH ST STE 400
ERIE, PA 16507

Erie County (814) 877-9100

KEVIN ZACHARY BLACK

Orthopaedic Surgery

100 PEACH ST STE 400
ERIE, PA 16507

Erie County (814) 454-8287

MARK KRAHE

Orthopaedic Surgery

100 PEACH ST STE 400, SUITE 400
ERIE, PA 16507

Erie County (814) 877-9100

JULIA D COSEO PA-C

Physician Assistant

100 PEACH ST STE 400
ERIE, PA 16507

Erie County (814) 877-9100

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 Nick Stefanovski's NPI number?

The NPI number for Nick Stefanovski is 1376546358. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Nick Stefanovski located?

Nick Stefanovski practices at 100 Peach St Ste 400, Erie, PA 16507. The listed phone number is (814) 877-9100.

What is Nick Stefanovski's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nick Stefanovski enrolled in Medicare?

Yes. Nick Stefanovski 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.

Is Nick Stefanovski affiliated with any hospitals?

According to CMS data, Nick Stefanovski is affiliated with Upmc Chautauqua At Wca, Upmc Hamot and Warren General Hospital.

When was this NPI record last updated?

The NPPES record for Nick Stefanovski was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.