DR. STEPHEN KENTON WATERBROOK M.D.
NPI 1558564872
Surgery in Grass Valley, CA
Active since June 06, 2007PECOS Enrolled
30/100
CMS Quality Rating
150 CATHERINE LN, SUITE J, GRASS VALLEY, CA 95945(530) 272-2257(530) 272-6977 Get Directions Write a Review
About Dr. Stephen Kenton Waterbrook M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHEN KENTON WATERBROOK M.D. (NPI 1558564872) is an individual surgery provider in Grass Valley, California, licensed in California (A94355) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1558564872
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. STEPHEN KENTON WATERBROOKCredential: M.D.
Location Address150 CATHERINE LN, SUITE JGrass Valley, CA 95945-5719
Mailing Address150 Catherine Ln Ste JGrass Valley, CA 95945-5719 · (530) 269-8191 · Fax (530) 205-9023
Phone(530) 272-2257
Fax(530) 272-6977
Sole ProprietorNo
Enumeration DateJune 6, 2007
Last NPPES UpdateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1558564872 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A94355
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.
150 CATHERINE LN, Grass Valley, CA 95945
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Stephen Kenton Waterbrook M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95945 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.
30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scoredQuality
0
Improvement Activities
0
Cost
100
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
24%172 patients2/55-star benchmark: 96%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%258 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%1,082 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
74%155 patients4/55-star benchmark: 98%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
53%32 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%22 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%168 patients2/55-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…
88%504 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
23%26 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
84%203 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%168 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
52%168 patients3/55-star benchmark: 79%
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 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier16 claims290 services$2.90 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers15 claims250 services$3.32 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims850 services$0.19 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier15 claims480 services$8.34 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers17 claims516 services$0.21 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims258 services$9.33 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
150 CATHERINE LN, SUITE I
GRASS VALLEY, CA 95945
GRASS VALLEY, CA 95945
Internal Medicine
150 CATHERINE LN, SUITE G
GRASS VALLEY, CA 95945
GRASS VALLEY, CA 95945
Nurse Practitioner (Family)
150 CATHERINE LN, SUITE B
GRASS VALLEY, CA 95945
GRASS VALLEY, CA 95945
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 Waterbrook's NPI number?
The NPI number for Stephen Waterbrook is 1558564872. It was assigned to this individual provider in the NPPES registry on June 6, 2007.
Where is Stephen Waterbrook located?
Stephen Waterbrook practices at 150 Catherine Ln Suite J, Grass Valley, CA 95945. The listed phone number is (530) 272-2257.
What is Stephen Waterbrook's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Stephen Waterbrook enrolled in Medicare?
Yes. Stephen Waterbrook is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stephen Waterbrook was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Stephen Kenton Waterbrook, M.D. · NPI 1558564872
Surgery physician in Grass Valley, California. Individual provider, active in the CMS NPPES registry since June 6, 2007.
## Identity
- **NPI:** 1558564872 (Entity type: Individual)
- **Enumerated:** June 6, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A94355 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 CATHERINE LN, SUITE J, Grass Valley, CA 95945-5719
- **Phone:** (530) 272-2257 · **Fax:** (530) 272-6977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558564872) · Data from the CMS NPPES public registry.