DR. STEPHEN I-HONG HSU MD, PHD
NPI 1538267802
Internal Medicine - Nephrology in The Villages, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(352) 259-2159(352) 259-5731 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2022, Aug 24, 2018, Apr 12, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Stephen I-hong Hsu Md, Phd NPPES

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

DR. STEPHEN I-HONG HSU MD, PHD (NPI 1538267802) is an individual nephrology provider in The Villages, Florida, licensed in Florida (ME101909) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1992).

NPPES Registry Identity

NPI1538267802
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. STEPHEN I-HONG HSUCredential: MD, PHD
Location Address1580 SANTA BARBARA BLVDThe Villages, FL 32159-6827
Mailing Address1580 Santa Barbara BlvdThe Villages, FL 32159-6827 · (352) 259-2159 · Fax (352) 259-5731
Fax(352) 259-5731
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1992
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 28, 20244 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1538267802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME101909
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1580 SANTA BARBARA BLVD, The Villages, FL 32159

Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 273-9180 · Fax (352) 265-8244

Other Identifiers 2

Medicaid2111195MA
Medicaid00278300FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen I-hong Hsu Md, Phd 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 ID9335162569
PECOS Enrollment IDI20081025000106
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Stephen Hsu reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1580 SANTA BARBARA BLVD, SUITE C
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
Internal Medicine
1580 SANTA BARBARA BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 99 clinicians in this Medicare group
Internal Medicine
1580 SANTA BARBARA BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
Internal Medicine
1580 SANTA BARBARA BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
Internal Medicine
1580 SANTA BARBARA BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 49 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
345 services213 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.
287 services185 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
99 services99 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
87 services87 patients
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.
64 services37 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.
61 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

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
11 suppliers28 claims93 services$6.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims27 services$1.12 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.

Family Medicine
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Internal Medicine
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Nurse Practitioner (Family)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Physician Assistant
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Nurse Practitioner (Family)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Physician Assistant
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Psychiatry & Neurology (Psychiatry)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Internal Medicine
1580 SANTA BARBARA BLVD, SUITE C
THE VILLAGES, FL 32159

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 Stephen Hsu's NPI number?

The NPI number for Stephen Hsu is 1538267802. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Stephen Hsu located?

Stephen Hsu practices at 1580 Santa Barbara Blvd, The Villages, FL 32159. The listed phone number is (352) 259-2159.

What is Stephen Hsu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Stephen Hsu enrolled in Medicare?

Yes. Stephen Hsu 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.

Which organizations bill Medicare for Stephen Hsu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Hsu reassigns Medicare benefits to 5 organizations: Premier Medical Associates All Florida, LLC (The Villages, FL), Premier Medical Associates Of Florida Healthcare, PA (The Villages, FL), Premier Medical Associates Of Florida LLC (The Villages, FL), Premier Specialty Alliance Inc (The Villages, FL) and Premier Specialty Care LLC (The Villages, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Hsu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Hsu accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Stephen Hsu 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 Stephen Hsu was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.