STEPHEN MATTHEW ASMA MD
NPI 1639103187
Family Medicine in De Pere, WI

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3860 MONROE RD, DE PERE, WI 54115(920) 496-4700(920) 431-1967 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Matthew Asma Md NPPES

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

STEPHEN MATTHEW ASMA MD (NPI 1639103187) is an individual family medicine provider in De Pere, Wisconsin, licensed in Wisconsin (26910) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Medical College Of Wisconsin (1984).

NPPES Registry Identity

NPI1639103187
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN MATTHEW ASMACredential: MD
Location Address3860 MONROE RDDe Pere, WI 54115
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700
Fax(920) 431-1967
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1984
Enumeration DateJuly 10, 2006
Last NPPES UpdateSeptember 15, 2016
NPI 1639103187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 26910
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3860 MONROE RD, De Pere, WI 54115

Other Identifiers 3

Medicare UPINB51258
Medicaid30832800WI
Medicare ID-Type Unspecified07125-0112

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

Stephen Matthew Asma 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 ID42379943
PECOS Enrollment IDI20081106000777
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 6

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 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.
191 services106 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.
129 services90 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
18 services13 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.
17 services17 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.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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
12 suppliers24 claims54 services$6.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier13 claims13 services$35.71 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$90.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims37 services$29.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers14 claims14 services$18.36 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers22 claims108 services$1.95 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.

Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Physical Therapist
3860 MONROE RD
DE PERE, WI 54115
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Counselor (Professional)
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115

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 Asma's NPI number?

The NPI number for Stephen Asma is 1639103187. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Stephen Asma located?

Stephen Asma practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is Stephen Asma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Asma enrolled in Medicare?

Yes. Stephen Asma 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 Asma accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Stephen Asma 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 Asma affiliated with any hospitals?

According to CMS data, Stephen Asma is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Asma was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.