DR. ANDREA STITGEN POLICANO M.D.
NPI 1376808998
Orthopaedic Surgery in Cedar Rapids, IA

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
75.52/100
CMS Quality Rating
202 10TH ST SE, CEDAR RAPIDS, IA 52403(319) 247-3049(319) 399-2036 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2023, Aug 24, 2022, Oct 27, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Andrea Stitgen Policano M.d. NPPES

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

DR. ANDREA STITGEN POLICANO M.D. (NPI 1376808998) is an individual orthopaedic surgery provider in Cedar Rapids, Iowa, licensed in Missouri (2022018661) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2012).

NPPES Registry Identity

NPI1376808998
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. ANDREA STITGEN POLICANOCredential: M.D.
Location Address202 10TH ST SECedar Rapids, IA 52403-2414
Mailing Address202 10th St SeCedar Rapids, IA 52403-2414
Fax(319) 399-2036
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2012
Enumeration DateJuly 10, 2012
Last NPPES UpdateDecember 19, 20235 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
NPI 1376808998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in MO · 2022018661 Licensed in WI · 67099-20
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.
202 10TH ST SE, Cedar Rapids, IA 52403

Other Names 1

Other Name (5)Andrea Catherine Stitgen

Other Identifiers 2

Medicaid200110196MO
Medicaid100069439WI

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

Dr. Andrea Stitgen Policano 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 ID9739317215
PECOS Enrollment IDI20230830003427
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 24

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
504 services80 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
138 services104 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
119 services89 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.
113 services67 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.
111 services84 patients
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.
92 services82 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Jones Regional Medical Center

Critical Access Hospitals · Anamosa, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161306
Location1795 Highway 64 EastAnamosa, IA 52205 · Jones County
Emergency services

Buchanan County Health Center

Critical Access Hospitals · Independence, IA
OwnershipGovernment - Local
CMS Certification Number161335
Location1600 First St EastIndependence, IA 50644 · Buchanan County
Emergency services

Regional Medical Center

Critical Access Hospitals · Manchester, IA
OwnershipGovernment - Local
CMS Certification Number161343
Location709 W Main StreetManchester, IA 52057 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

75.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.32
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%84 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%114 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%123 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
67%54 patients3/55-star benchmark: 98%
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.

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.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
202 10TH ST SE
CEDAR RAPIDS, IA 52403
Internal Medicine (Cardiovascular Disease)
202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403
Radiology (Radiation Oncology)
202 10TH ST SE, SUITE 195
CEDAR RAPIDS, IA 52403
Nurse Practitioner (Family)
202 10TH ST SE
CEDAR RAPIDS, IA 52403
Internal Medicine (Rheumatology)
202 10TH ST SE
CEDAR RAPIDS, IA 52403
Internal Medicine (Interventional Cardiology)
202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403
Internal Medicine (Cardiovascular Disease)
202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403
Internal Medicine (Sports Medicine)
202 10TH ST SE
CEDAR RAPIDS, IA 52403

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 Andrea Stitgen Policano's NPI number?

The NPI number for Andrea Stitgen Policano is 1376808998. It was assigned to this individual provider in the NPPES registry on July 10, 2012. The provider is also known as Andrea Catherine Stitgen.

Where is Andrea Stitgen Policano located?

Andrea Stitgen Policano practices at 202 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (319) 247-3049.

What is Andrea Stitgen Policano's specialty?

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

Is Andrea Stitgen Policano enrolled in Medicare?

Yes. Andrea Stitgen Policano 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 Andrea Stitgen Policano accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Andrea Stitgen Policano 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 Andrea Stitgen Policano affiliated with any hospitals?

According to CMS data, Andrea Stitgen Policano is affiliated with St Lukes Hospital, Mercy Medical Center - Cedar Rapids, Jones Regional Medical Center, Buchanan County Health Center and Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Stitgen Policano was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.