RICHARD W STEPHENS DO
NPI 1700413655
Hospitalist in Austin, MN

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
1000 1ST DR NW, AUSTIN, MN 55912(507) 433-7351 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2021, Mar 23, 2020 (2 updates tracked since 2020).

About Richard W Stephens Do NPPES

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

RICHARD W STEPHENS DO (NPI 1700413655) is an individual hospitalist provider in Austin, Minnesota, licensed in Minnesota (74512) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Albert Lea And Austin, and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1700413655
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRICHARD W STEPHENSCredential: DO
Location Address1000 1ST DR NWAustin, MN 55912-2941
Mailing Address1000 1st Dr NwAustin, MN 55912-2941 · (507) 433-7351
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateSeptember 14, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
NPI 1700413655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MN · 74512
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1000 1ST DR NW, Austin, MN 55912

Secondary Practice Location 1

Location 11960 N Ogden St Ste 400Denver, CO 80218-3670 · Phone (303) 318-1540

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 W Stephens Do 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 ID648699876
PECOS Enrollment IDI20231002000523
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.

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.
199 services98 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
76 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services45 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.
50 services23 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.
26 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240043
Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55912 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.89
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
1000 1ST DR NW
AUSTIN, MN 55912
Physician Assistant
1000 1ST DR NW
AUSTIN, MN 55912
Physical Medicine & Rehabilitation
1000 1ST DR NW
AUSTIN, MN 55912
Audiologist
1000 1ST DR NW
AUSTIN, MN 55912
Internal Medicine
1000 1ST DR NW
AUSTIN, MN 55912
Internal Medicine
1000 1ST DR NW
AUSTIN, MN 55912
Ophthalmology
1000 1ST DR NW
AUSTIN, MN 55912
Family Medicine
1000 1ST DR NW
AUSTIN, MN 55912

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 Stephens's NPI number?

The NPI number for Richard Stephens is 1700413655. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Richard Stephens located?

Richard Stephens practices at 1000 1st Dr NW, Austin, MN 55912. The listed phone number is (507) 433-7351.

What is Richard Stephens's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Richard Stephens enrolled in Medicare?

Yes. Richard Stephens 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 Stephens accept?

Health plans from Medica list Richard Stephens 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 Richard Stephens affiliated with any hospitals?

According to CMS data, Richard Stephens is affiliated with Mayo Clinic Health System - Albert Lea And Austin.

When was this NPI record last updated?

The NPPES record for Richard Stephens was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.