NICHOLAS C STEVENS PHD MD
NPI 1477551612
Internal Medicine in Hammond, LA

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403(985) 542-6251(985) 945-2386 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas C Stevens Phd Md NPPES

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

NICHOLAS C STEVENS PHD MD (NPI 1477551612) is an individual internal medicine provider in Hammond, Louisiana, licensed in Louisiana (015218) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1979).

NPPES Registry Identity

NPI1477551612
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS C STEVENSCredential: PHD MD
Location Address42388 PELICAN PROFESSIONAL PARKHammond, LA 70403
Mailing AddressPo Box 1799Hammond, LA 70404-1799 · (985) 542-6251 · Fax (985) 945-2386
Fax(985) 945-2386
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1979
Enumeration DateJuly 12, 2005
Last NPPES UpdateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
NPI 1477551612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 015218
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.
42388 PELICAN PROFESSIONAL PARK, Hammond, LA 70403

Other Identifiers 3

Other2705080004LA · Cigna Healthcare Of La
Other4250496LA · Aetna Us Healthcare
Medicaid1198706LA

Accepted 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

Nicholas C Stevens Phd 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 ID4688579121
PECOS Enrollment IDI20100914000554
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 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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
810 services81 patients
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.
380 services123 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.
350 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
78 services78 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
57 services56 patients

Hospital Affiliations CMS Care Compare 2

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Hood Memorial Hospital

Critical Access Hospitals · Amite, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191309
Location301 W Walnut StreetAmite, LA 70422 · Tangipahoa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70403 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%148 patients3/55-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%176 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…
100%208 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%206 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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers25 claims62 services$6.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$17.61 avg. paid by Medicare
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
2 suppliers22 claims22 services$91.45 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.

Nurse Practitioner (Gerontology)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Internal Medicine
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Internal Medicine (Nephrology)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Nurse Practitioner (Family)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Family Medicine
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Nurse Practitioner (Adult Health)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Podiatrist (Primary Podiatric Medicine)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403
Nurse Practitioner (Family)
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403

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 Nicholas Stevens's NPI number?

The NPI number for Nicholas Stevens is 1477551612. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Nicholas Stevens located?

Nicholas Stevens practices at 42388 Pelican Professional Park, Hammond, LA 70403. The listed phone number is (985) 542-6251.

What is Nicholas Stevens's specialty?

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

Is Nicholas Stevens enrolled in Medicare?

Yes. Nicholas Stevens 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 Nicholas Stevens accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Nicholas Stevens 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 Nicholas Stevens affiliated with any hospitals?

According to CMS data, Nicholas Stevens is affiliated with North Oaks Medical Center and Hood Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Stevens was last updated on August 23, 2021. 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.