STEVEN R WUNSCHEL MD
NPI 1396750105
Urology in Modesto, CA

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
1401 SPANOS CT, 111, MODESTO, CA 95355(209) 525-3181(209) 526-4961 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Dec 17, 2021 (2 updates tracked since 2021).

About Steven R Wunschel Md NPPES

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

STEVEN R WUNSCHEL MD (NPI 1396750105) is an individual urology provider in Modesto, California, licensed in California (A53236) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1989).

NPPES Registry Identity

NPI1396750105
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSTEVEN R WUNSCHELCredential: MD
Location Address1401 SPANOS CT, 111Modesto, CA 95355-2810
Mailing Address1800 Harrison St, 7th FlOakland, CA 94612-3429 · (510) 625-4101 · Fax (877) 738-4262
Fax(209) 526-4961
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1989
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
NPI 1396750105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A53236
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1401 SPANOS CT, Modesto, CA 95355

Other Identifiers 1

Medicaid00A532360CA

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

Steven R Wunschel 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 ID8921034612
PECOS Enrollment IDI20090120000458
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 23

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 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.
293 services236 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.
263 services186 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.
203 services127 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.
158 services158 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
150 services134 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
129 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

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.

Pharmacist
1401 SPANOS CT, STE 105
MODESTO, CA 95355
Clinic/Center (Oncology, Radiation)
1401 SPANOS CT
MODESTO, CA 95355
Physician Assistant
1401 SPANOS CT, SUITE 130
MODESTO, CA 95355
Internal Medicine (Hematology & Oncology)
1401 SPANOS CT, #134
MODESTO, CA 95355
Orthopaedic Surgery
1401 SPANOS CT, SUITE 101
MODESTO, CA 95355
Clinical Nurse Specialist (Medical-Surgical)
1401 SPANOS CT, SUITE 103
MODESTO, CA 95355
Physician Assistant
1401 SPANOS CT, SUITE 125
MODESTO, CA 95355
Obstetrics & Gynecology
1401 SPANOS CT
MODESTO, CA 95355

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 Steven Wunschel's NPI number?

The NPI number for Steven Wunschel is 1396750105. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Steven Wunschel located?

Steven Wunschel practices at 1401 Spanos Ct 111, Modesto, CA 95355. The listed phone number is (209) 525-3181.

What is Steven Wunschel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Steven Wunschel enrolled in Medicare?

Yes. Steven Wunschel 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.

When was this NPI record last updated?

The NPPES record for Steven Wunschel was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.