STEPHANIE ICABONE MD
NPI 1740965300
Family Medicine in Grosse Pointe, MI

Q: What is Stephanie Icabone's NPI number?

The NPI number for Stephanie Icabone is 1740965300. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Q: What is Stephanie Icabone's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Icabone was last updated on June 26, 2023. 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.

Active since June 20, 2023PECOS Enrolled

468 CADIEUX RD, GROSSE POINTE, MI 48230(586) 498-4422 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephanie Icabone Md NPPES

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

STEPHANIE ICABONE MD (NPI 1740965300) is an individual family medicine provider in Grosse Pointe, Michigan, licensed in Michigan (4351051980) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740965300

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTEPHANIE ICABONECredential: MD

Location Address468 CADIEUX RDGrosse Pointe, MI 48230-1507

Mailing Address468 Cadieux RdGrosse Pointe, MI 48230-1507 · (586) 498-4422

Phone(586) 498-4422

Sole ProprietorYes

Enumeration DateJune 20, 2023

Last NPPES UpdateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1740965300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4351051980

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.

468 CADIEUX RD, Grosse Pointe, MI 48230

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Icabone Md 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 48230 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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.

DR. LUCKI WORD MD

Family Medicine