STEPHEN CRAIG SCARPERO MD
NPI 1588655377
Internal Medicine in Nashville, TN

Q: What is Stephen Scarpero's NPI number?

The NPI number for Stephen Scarpero is 1588655377. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Stephen Scarpero's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Scarpero was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

222 22ND AVE N, NASHVILLE, TN 37203(629) 255-2285(629) 255-4278 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 22, 2024, Feb 10, 2022 (2 updates tracked since 2022).

On this page

About Stephen Craig Scarpero Md NPPES

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

STEPHEN CRAIG SCARPERO MD (NPI 1588655377) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (36378) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1995).

NPPES Registry Identity

NPI1588655377

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSTEPHEN CRAIG SCARPEROCredential: MD

Location Address222 22ND AVE NNashville, TN 37203-1852

Mailing Address222 22nd Ave NNashville, TN 37203-1852 · (629) 255-3486 · Fax (629) 255-3075

Phone(629) 255-2285

Fax(629) 255-4278

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1995

Enumeration DateNovember 2, 2005

Last NPPES UpdateApril 22, 20252 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1588655377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 36378

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.

222 22ND AVE N, Nashville, TN 37203

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Other Identifiers 2

MedicaidQ004905TN

Medicaid3877969TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Stephen Craig Scarpero 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 ID2961491659

PECOS Enrollment IDI20040507001307

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 21

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.

379 services207 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.

101 services101 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

97 services94 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

82 services82 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

75 services75 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

51 services50 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

39 services16 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

37 services37 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

36 services36 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.

36 services30 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

29 services29 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

26 services22 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

24 services20 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

22 services22 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

22 services22 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.

22 services22 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

19 services15 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

19 services13 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440082

Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

96%3,022 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%587 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 6

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

21 suppliers55 claims177 services$5.82 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims18 services$1.14 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims24 services$7.30 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$4.35 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.17 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers30 claims30 services$178.59 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.

JOHN BRIGHT CAGE M.D.

Internal Medicine (Cardiovascular Disease)

222 22ND AVE N, STE 400
NASHVILLE, TN 37203

Davidson County (615) 329-5144

JOSEPH P PARKER M.D.

Internal Medicine (Gastroenterology)

222 22ND AVE N
NASHVILLE, TN 37203

Davidson County (629) 255-2156

ROBERT L LEDFORD JR. M.D.

Internal Medicine

222 22ND AVE N
NASHVILLE, TN 37203

Davidson County (629) 255-2151

DR. DOUGLAS P MITCHELL M.D.

Internal Medicine (Gastroenterology)

222 22ND AVE N, SUITE 100
NASHVILLE, TN 37203

Davidson County (615) 324-2156

DR. KEVIN MARK RANKIN M.D.

Internal Medicine (Cardiovascular Disease)

222 22ND AVE N, STE 400
NASHVILLE, TN 37203

Davidson County (615) 329-5144

WESLEY CLARK RAY M.D.

Internal Medicine

222 22ND AVE N
NASHVILLE, TN 37203

Davidson County (629) 255-2153

ERIN C REBELE MD

Obstetrics & Gynecology

222 22ND AVE N
NASHVILLE, TN 37203

Davidson County (629) 255-2194

LAURA H WILE M.D.

Internal Medicine

222 22ND AVE N
NASHVILLE, TN 37203

Davidson County (629) 255-2177

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 Scarpero's NPI number?

The NPI number for Stephen Scarpero is 1588655377. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Stephen Scarpero located?

Stephen Scarpero practices at 222 22nd Ave N, Nashville, TN 37203. The listed phone number is (629) 255-2285.

What is Stephen Scarpero's specialty?

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

Is Stephen Scarpero enrolled in Medicare?

Yes. Stephen Scarpero 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 Stephen Scarpero accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Stephen Scarpero 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 Stephen Scarpero affiliated with any hospitals?

According to CMS data, Stephen Scarpero is affiliated with Tristar Skyline Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Scarpero was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.