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DR. STEPHANIE A RICCALARSEN MD
NPI 1447474945
Family Medicine in Roseburg, OR

Active since April 13, 2007Opted out of Medicare · through Feb 24, 2027
2570 NW EDENBOWER BLVD., SUITE 100, ROSEBURG, OR 97471(541) 677-7200(541) 229-3309 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2019, Aug 8, 2018 (2 updates tracked since 2018).

About Dr. Stephanie A Riccalarsen Md NPPES

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

DR. STEPHANIE A RICCALARSEN MD (NPI 1447474945) is an individual family medicine provider in Roseburg, Oregon, licensed in Oregon (MD126056) and active in the NPI registry since April 2007. She has opted out of Medicare through February 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447474945
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHANIE A RICCALARSENCredential: MD
Location Address2570 NW EDENBOWER BLVD., SUITE 100Roseburg, OR 97471-6214
Mailing Address2570 Nw Edenbower Blvd., Suite 100Roseburg, OR 97471-6214 · (541) 677-7200 · Fax (541) 229-3309
Phone(541) 677-7200
Fax(541) 229-3309
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1447474945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD126056✔ Licensed in NE · 5415
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2570 NW EDENBOWER BLVD., Roseburg, OR 97471
Open in Google Maps ↗

Other Identifiers 5

Other1407812365OR · Group Npi
Other0577260001OR · Group Dmerc
OtherR0000WFBTVOR · Group Medicare Number
Medicaid500612601OR
Other161133OR · Group Dmap - Oregon Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stephanie A Riccalarsen Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 24, 2025 through February 24, 2027.

Opt-Out Effective DateFebruary 24, 2025
Opt-Out In Effect ThroughFebruary 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
58 services35 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 6

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

MICHAEL F GRAHAM P.A.-C.
Physician Assistant
2570 NW EDENBOWER BLVD., SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
PATRICK W CLYDE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2570 NW EDENBOWER BLVD., SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
MICHAEL L. NICHOLS DO
Family Medicine
2570 NW EDENBOWER BLVD., SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
DR. STEVEN LESTER BURNS M.D.
General Practice
2570 NW EDENBOWER BLVD., STE 100
ROSEBURG, OR 97471
Douglas County (541) 957-1111
CORY L RUSSELL D.O.
Family Medicine
2570 NW EDENBOWER BLVD., STE 100
ROSEBURG, OR 97471
Douglas County (541) 957-1111
AMANDA M MANNING P.A.
Physician Assistant
2570 NW EDENBOWER BLVD., SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200

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 Stephanie Riccalarsen's NPI number?

The NPI number for Stephanie Riccalarsen is 1447474945. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Stephanie Riccalarsen located?

Stephanie Riccalarsen practices at 2570 NW Edenbower Blvd. Suite 100, Roseburg, OR 97471. The listed phone number is (541) 677-7200.

What is Stephanie Riccalarsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephanie Riccalarsen enrolled in Medicare?

No. Stephanie Riccalarsen has opted out of Medicare through February 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Stephanie Riccalarsen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Stephanie Riccalarsen 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.

When was this NPI record last updated?

The NPPES record for Stephanie Riccalarsen was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.