STETSON ALBERTSON DO
NPI 1427579929
Dermatology in Warren, MI

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
97.66/100
CMS Quality Rating
13450 E 12 MILE RD, WARREN, MI 48088(586) 759-5525(586) 759-4022 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 8, 2021, May 25, 2021, Feb 11, 2019 and 2 more (5 updates tracked since 2017).

About Stetson Albertson Do NPPES

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

STETSON ALBERTSON DO (NPI 1427579929) is an individual dermatology provider in Warren, Michigan, licensed in Michigan (5101024479) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and maintains a secondary practice location in Trenton.

NPPES Registry Identity

NPI1427579929
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSTETSON ALBERTSONCredential: DO
Location Address13450 E 12 MILE RDWarren, MI 48088-3671
Mailing Address13450 E 12 Mile RdWarren, MI 48088-3671 · (586) 759-5525
Fax(586) 759-4022
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2017
Enumeration DateJuly 5, 2017
Last NPPES UpdateJune 8, 20215 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1427579929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 5101024479
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101023631 (MI), 5151010686 (MI)
13450 E 12 MILE RD, Warren, MI 48088

Secondary Practice Location 1

Location 15450 Fort StTrenton, MI 48183-4601 · Phone (734) 671-3297

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stetson Albertson Do 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 ID2567861792
PECOS Enrollment IDI20211015000282, I20250603002959
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Stetson Albertson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
4834 SOCIALVILLE FOSTER RD STE 20
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 8 clinicians in this Medicare group
MOHS-Micrographic Surgery
2375 E SUNNYSIDE RD STE J
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
MOHS-Micrographic Surgery
2085 PROVIDENCE WAY
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho and Wyoming enrollments
  • 7 clinicians in this Medicare group
Specialist
2001 S WOODRUFF AVE, STE 12A
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,042 services97 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.
251 services161 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
171 services105 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
110 services68 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
106 services78 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
92 services72 patients

Hospital Affiliations CMS Care Compare

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48088 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

97.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.32
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Dermatology
13450 E 12 MILE RD
WARREN, MI 48088
Dermatology
13450 E 12 MILE RD
WARREN, MI 48088
Nurse Practitioner
13450 E 12 MILE RD
WARREN, MI 48088
Dermatology
13450 E 12 MILE RD
WARREN, MI 48088
Physician Assistant
13450 E 12 MILE RD
WARREN, MI 48088
Dermatology
13450 E 12 MILE RD
WARREN, MI 48088
Dermatology
13450 E 12 MILE RD
WARREN, MI 48088
Physician Assistant
13450 E 12 MILE RD
WARREN, MI 48088

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 Stetson Albertson's NPI number?

The NPI number for Stetson Albertson is 1427579929. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Stetson Albertson located?

Stetson Albertson practices at 13450 E 12 Mile Rd, Warren, MI 48088. The listed phone number is (586) 759-5525.

What is Stetson Albertson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Stetson Albertson enrolled in Medicare?

Yes. Stetson Albertson 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.

Which organizations bill Medicare for Stetson Albertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stetson Albertson reassigns Medicare benefits to 4 organizations: Advanced Dermatology Of Ohio, Inc (Mason, OH), S. Albertson Dermatology And Skin Cancer Center LLC (Idaho Falls, ID), High Valley Dermatology & Dermatologic Surgery PLLC (Idaho Falls, ID) and Idaho Falls Dermatology P A (Idaho Falls, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stetson Albertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stetson Albertson accept?

Health plans from Antidote Health Plan of Ohio, Inc., Molina Healthcare, Select Health and University of Utah Health Plans list Stetson Albertson 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 Stetson Albertson affiliated with any hospitals?

According to CMS data, Stetson Albertson is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Stetson Albertson was last updated on June 8, 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.