DR. THEODORE ALEXANDER STEPHENS MD
NPI 1396842076
Internal Medicine in Baltimore, MD

Q: What is Theodore Stephens's NPI number?

The NPI number for Theodore Stephens is 1396842076. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Q: What is Theodore Stephens's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Stephens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 17, 2006PECOS EnrolledAccepts Medicare Assignment

47.43/100

CMS Quality Rating

1005 N POINT BLVD, SUITE 724, BALTIMORE, MD 21224(410) 284-5210(410) 282-5062 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Theodore Alexander Stephens Md NPPES

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

DR. THEODORE ALEXANDER STEPHENS MD (NPI 1396842076) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D41399) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Meharry Medical College School Of Medicine (1988).

NPPES Registry Identity

NPI1396842076

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THEODORE ALEXANDER STEPHENSCredential: MD

Location Address1005 N POINT BLVD, SUITE 724Baltimore, MD 21224-3415

Mailing Address1005 N Point Blvd, Suite 724Baltimore, MD 21224-3415 · (410) 284-5210 · Fax (410) 282-5062

Phone(410) 284-5210

Fax(410) 282-5062

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1988

Enumeration DateSeptember 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396842076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D41399

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1005 N POINT BLVD, Baltimore, MD 21224

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Other Identifiers 2

Medicare UPINF09655MD

Medicare ID-Type Unspecified8165MD

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. Theodore Alexander Stephens 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 ID9133228661

PECOS Enrollment IDI20070625000670

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 11

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.

653 services263 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

234 services224 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.

208 services208 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.

183 services183 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.

137 services137 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

120 services111 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.

72 services58 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.

55 services47 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.

27 services22 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

20 services18 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210015

Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

47.43/100

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

Individually scored

Quality

Improvement Activities

Cost

81.45

Referred Medical Equipment & Supplies CMS DME claims 4

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

14 suppliers61 claims149 services$5.98 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers12 claims12 services$2.91 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers35 claims40 services$1.13 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers24 claims24 services$199.06 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 13

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

SHELBY COOK

Social Worker (Clinical)

1005 N POINT BLVD
BALTIMORE, MD 21224

Baltimore City (410) 878-7511

FRANKLIN EARL CHATHAM MD

Internal Medicine (Cardiovascular Disease)

1005 N POINT BLVD, SUITE #730
BALTIMORE, MD 21224

Baltimore City (410) 288-7843

KEMANNA EDDINGS LMSW

Social Worker

1005 N POINT BLVD
BALTIMORE, MD 21224

Baltimore City (410) 878-7511

DRS EDWARDS & STEPHENS LTD

Internal Medicine

1005 N POINT BLVD, SUITE 724
BALTIMORE, MD 21224

Baltimore City (410) 284-5210

EASY LISTENING HEARING CENTERS, INC.

Audiologist

1005 N POINT BLVD, SUITE 705
BALTIMORE, MD 21224

Baltimore City (410) 288-7100

FANESHA MARKAI JONES-BEY LMSW

Social Worker (Clinical)

1005 N POINT BLVD
BALTIMORE, MD 21224

Baltimore City (410) 878-7511

DR. BRUCE ERIC JONES MD

Ophthalmology

1005 N POINT BLVD, SUITE 707
BALTIMORE, MD 21224

Baltimore City (410) 288-2853

NOURISHING NUTRITIONALS LLC

Dietitian, Registered

1005 N POINT BLVD
BALTIMORE, MD 21224

Baltimore City (410) 440-1213

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 Theodore Stephens's NPI number?

The NPI number for Theodore Stephens is 1396842076. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Theodore Stephens located?

Theodore Stephens practices at 1005 N Point Blvd Suite 724, Baltimore, MD 21224. The listed phone number is (410) 284-5210.

What is Theodore Stephens's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Stephens enrolled in Medicare?

Yes. Theodore 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.

Is Theodore Stephens affiliated with any hospitals?

According to CMS data, Theodore Stephens is affiliated with Medstar Franklin Square Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Stephens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.