MALCOLM LORI STEINER MD
NPI 1447230487
Internal Medicine in Middletown, OH

Q: What is Malcolm Steiner's NPI number?

The NPI number for Malcolm Steiner is 1447230487. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Malcolm Steiner'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 Malcolm Steiner was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 17, 2006PECOS EnrolledAccepts Medicare Assignment

84.95/100

CMS Quality Rating

200 N BREIEL BLVD, MIDDLETOWN, OH 45042(513) 424-2535(513) 424-0363 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Malcolm Lori Steiner Md NPPES

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

MALCOLM LORI STEINER MD (NPI 1447230487) is an individual internal medicine provider in Middletown, Ohio, licensed in Ohio (048433) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1982).

NPPES Registry Identity

NPI1447230487

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMALCOLM LORI STEINERCredential: MD

Location Address200 N BREIEL BLVDMiddletown, OH 45042-3808

Mailing Address200 N Breiel BlvdMiddletown, OH 45042-3808 · (513) 424-2535 · Fax (513) 424-0363

Phone(513) 424-2535

Fax(513) 424-0363

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1982

Enumeration DateJanuary 17, 2006

Last NPPES UpdateNovember 18, 2014

✔ NPI 1447230487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 048433

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.

200 N BREIEL BLVD, Middletown, OH 45042

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Other Identifiers 5

Medicare ID-Type UnspecifiedST0607082OH

Medicaid0607084OH

Medicaid0636002OH

Medicare UPINA17153OH

Medicare PINH378900OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Malcolm Lori Steiner 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 ID1951483064

PECOS Enrollment IDI20100720000052

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 4

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.

706 services322 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

172 services70 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.

25 services22 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360076

LocationOne Medical Center DriveFranklin, OH 45005 · Warren County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45042 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

84.95/100

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

Scored as part of a group practice

Quality

80.68

Promoting Interoperability

100

Improvement Activities

Cost

69.16

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

30%291 patients2/55-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

65%453 patients3/55-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…

26%509 patients2/55-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

41%187 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

6 suppliers63 claims778 services$18.00 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

7 suppliers63 claims1,856 services$2.35 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

27 suppliers125 claims438 services$6.03 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

16 suppliers57 claims114 services$1.06 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

4 suppliers46 claims46 services$303.66 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

9 suppliers31 claims2,000 services$6.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 10

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

KAITLYN ELIZABETH HOLIGA PA-C

Physician Assistant (Medical)