STEPHEN E MIKOS M.D.
NPI 1770566523
Internal Medicine in Roswell, GA

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
79.71/100
CMS Quality Rating
1265 UPPER HEMBREE RD, SUITE 200, ROSWELL, GA 30076(770) 442-1180(770) 442-5824 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen E Mikos M.d. NPPES

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

STEPHEN E MIKOS M.D. (NPI 1770566523) is an individual internal medicine provider in Roswell, Georgia, licensed in Georgia (034201) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1770566523
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHEN E MIKOSCredential: M.D.
Location Address1265 UPPER HEMBREE RD, SUITE 200Roswell, GA 30076-1143
Mailing Address1265 Upper Hembree Rd, Suite 200Roswell, GA 30076-1143 · (770) 442-1180 · Fax (770) 442-5824
Fax(770) 442-5824
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 25, 2005
Last NPPES UpdateDecember 9, 2009
NPI 1770566523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 034201
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.
1265 UPPER HEMBREE RD, Roswell, GA 30076

Other Identifiers 2

Medicare UPINF08962GA
Medicare ID-Type Unspecified11BDDVSGA

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 E Mikos M.d. 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 ID5597937797
PECOS Enrollment IDI20111012000497
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 17

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
651 services96 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
649 services96 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
225 services74 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
211 services74 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.
195 services94 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.
158 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

79.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost32.38

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers12 claims24 services$6.05 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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, STE 100
ROSWELL, GA 30076
Physician Assistant
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, STE 100
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Physician Assistant
1265 UPPER HEMBREE RD
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, SUITE 101
ROSWELL, GA 30076

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 Mikos's NPI number?

The NPI number for Stephen Mikos is 1770566523. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Stephen Mikos located?

Stephen Mikos practices at 1265 Upper Hembree Rd Suite 200, Roswell, GA 30076. The listed phone number is (770) 442-1180.

What is Stephen Mikos's specialty?

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

Is Stephen Mikos enrolled in Medicare?

Yes. Stephen Mikos 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.

When was this NPI record last updated?

The NPPES record for Stephen Mikos was last updated on December 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.