PHILIP MARTIN STEGEMANN MD
NPI 1467423228
Orthopaedic Surgery in Buffalo, NY

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
462 GRIDER ST, BUFFALO, NY 14215(716) 689-1901(716) 689-2238 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip Martin Stegemann Md NPPES

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

PHILIP MARTIN STEGEMANN MD (NPI 1467423228) is an individual orthopaedic surgery provider in Buffalo, New York, licensed in New York (154660-1) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (1982).

NPPES Registry Identity

NPI1467423228
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePHILIP MARTIN STEGEMANNCredential: MD
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address462 Grider StBuffalo, NY 14215-3021 · (716) 689-1901 · Fax (716) 689-2238
Fax(716) 689-2238
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1982
Enumeration DateJanuary 30, 2006
Last NPPES UpdateSeptember 18, 2012
NPI 1467423228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NY · 154660-1
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

462 GRIDER ST, Buffalo, NY 14215

Other Identifiers 3

Medicare UPINB71558NY
Medicare ID-Type Unspecified14248HNY
Medicaid01079547NY

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

Philip Martin Stegemann 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 ID1153358130
PECOS Enrollment IDI20050721000129
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.
45 services39 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.
44 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330229
Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

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.

Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215

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 Philip Stegemann's NPI number?

The NPI number for Philip Stegemann is 1467423228. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Philip Stegemann located?

Philip Stegemann practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 689-1901.

What is Philip Stegemann's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Philip Stegemann enrolled in Medicare?

Yes. Philip Stegemann 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 Philip Stegemann affiliated with any hospitals?

According to CMS data, Philip Stegemann is affiliated with Erie County Medical Center and Brooks-Tlc Hospital System, Inc.

When was this NPI record last updated?

The NPPES record for Philip Stegemann was last updated on September 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.