RICHARD STEIN M.D.
NPI 1477949857
Surgery in Willoughby, OH

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
5105 SOM CENTER ROAD, SUITE 107, WILLOUGHBY, OH 44094(440) 953-5712(440) 953-5713 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Stein M.d. NPPES

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

RICHARD STEIN M.D. (NPI 1477949857) is an individual surgery provider in Willoughby, Ohio, licensed in Arizona (R74904) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of University Of Washington School Of Medicine (2015).

NPPES Registry Identity

NPI1477949857
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD STEINCredential: M.D.
Location Address5105 SOM CENTER ROAD, SUITE 107Willoughby, OH 44094
Mailing Address7590 Auburn Road, Suite 014, Attn: Med StaffConcord Twp, OH 44077-9176 · (440) 354-1899 · Fax (440) 354-1845
Fax(440) 953-5713
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015
Enumeration DateApril 12, 2015
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
NPI 1477949857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AZ · R74904
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5105 SOM CENTER ROAD, Willoughby, OH 44094

Secondary Practice Location 1

Location 14545 8th Ave NE, Apt 610Seattle, WA 98105-5795 · Phone (843) 655-4426

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

Richard Stein M.d. 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 ID1557674975
PECOS Enrollment IDI20200929002329
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services27 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.
42 services38 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
20 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Other Providers at the Same Location NPPES 11

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

Physical Therapist
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Anesthesiology (Pain Medicine)
5105 SOM CENTER ROAD, SUITE 202
WILLOUGHBY, OH 44094
Clinic/Center
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Internal Medicine
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Nurse Practitioner
5105 SOM CENTER ROAD
WILLOUGHBY, OH 44094
Obstetrics & Gynecology
5105 SOM CENTER ROAD, SUITE 201
WILLOUGHBY, OH 44094
Nurse Practitioner
5105 SOM CENTER ROAD, STE 202
WILLOUGHBY, OH 44094
Physician Assistant
5105 SOM CENTER ROAD, SUITE 202
WILLOUGHBY, OH 44094

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 Richard Stein's NPI number?

The NPI number for Richard Stein is 1477949857. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Richard Stein located?

Richard Stein practices at 5105 Som Center Road Suite 107, Willoughby, OH 44094. The listed phone number is (440) 953-5712.

What is Richard Stein's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Stein enrolled in Medicare?

Yes. Richard Stein 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 Richard Stein accept?

Health plans from CareSource, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Richard Stein 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 Richard Stein was last updated on March 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.