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LUKE STEPHENSON
NPI 1427258607
Internal Medicine in Clearwater, FL

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment
300 PINELLAS ST, CLEARWATER, FL 33756(727) 462-7907(727) 462-7904 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Luke Stephenson NPPES

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

LUKE STEPHENSON (NPI 1427258607) is an individual internal medicine provider in Clearwater, Florida, licensed in Florida (ME113208) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1427258607
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLUKE STEPHENSON
Location Address300 PINELLAS STClearwater, FL 33756-3804
Mailing Address300 Pinellas StClearwater, FL 33756-3804 · (727) 462-7907 · Fax (727) 462-7904
Phone(727) 462-7907
Fax(727) 462-7904
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2007
Enumeration DateJuly 24, 2007
Last NPPES UpdateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1427258607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME113208
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.
Also ListedHospitalistTaxonomy 208M00000X · License MD2010-0503 (NM)
300 PINELLAS ST, Clearwater, FL 33756
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Secondary Practice Location 1

Location 11100 Central Ave SEAlbuquerque, NM 87106-4930 · Phone (505) 841-1234 ext. 1477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed.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

Luke Stephenson 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 ID2961690938
PECOS Enrollment IDI20120904000411
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
327 services143 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
80 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
45 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services19 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%208 patients5/55-star benchmark: 100%
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$69.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$30.88 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.

BRYAN HYMAN DO
Emergency Medicine
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 447-7175
JENSEN THOMPSON PA-C
Physician Assistant
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
MANDEE PETERSON CRNA
Nurse Anesthetist, Certified Registered
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
ALEXANDRA ABREU-ESPOSITO PA-C
Physician Assistant
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 447-7175
DR. IRMA ALVES M.D.
Internal Medicine
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7908
DR. MARK W STANFORD MD
Emergency Medicine
300 PINELLAS ST, MORTON PLANT HOSPITAL
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
HEATHER JO BRINK PHARMD
Pharmacist
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (480) 213-5012
KIRAN RABHERU MD
Psychiatry & Neurology (Psychiatry)
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 298-6283

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 Luke Stephenson's NPI number?

The NPI number for Luke Stephenson is 1427258607. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Luke Stephenson located?

Luke Stephenson practices at 300 Pinellas St, Clearwater, FL 33756. The listed phone number is (727) 462-7907.

What is Luke Stephenson's specialty?

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

Is Luke Stephenson enrolled in Medicare?

Yes. Luke Stephenson 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 Luke Stephenson accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Luke Stephenson 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 Luke Stephenson affiliated with any hospitals?

According to CMS data, Luke Stephenson is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Luke Stephenson was last updated on August 12, 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.