IRA E STEIN M. D.
NPI 1790757821
Internal Medicine - Gastroenterology in Nashville, TN

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment

87.18/100

CMS Quality Rating

330 23RD AVE N, SUITE 300, NASHVILLE, TN 37203(615) 342-5900(615) 342-7898 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ira E Stein M. D. NPPES

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

IRA E STEIN M. D. (NPI 1790757821) is an individual gastroenterology provider in Nashville, Tennessee, licensed in Tennessee (MD0000022169) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Horizon Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1990).

NPPES Registry Identity

NPI1790757821

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameIRA E STEINCredential: M. D.

Location Address330 23RD AVE N, SUITE 300Nashville, TN 37203-1534

Mailing Address330 23rd Ave N, Suite 300Nashville, TN 37203-1534 · (615) 342-5900 · Fax (615) 342-7898

Phone(615) 342-5900

Fax(615) 342-7898

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1990

Enumeration DateFebruary 2, 2006

Last NPPES UpdateJanuary 26, 2022

✔ NPI 1790757821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TN · MD0000022169

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

330 23RD AVE N, Nashville, TN 37203

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Other Identifiers 1

Medicaid3090269TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Ira E Stein 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 ID9234200502

PECOS Enrollment IDI20080612000879

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 20

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.

142 services96 patients

Follow-up hospital inpatient care per day, typically 25 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.

118 services75 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

87 services86 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

64 services64 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

63 services61 patients

Initial hospital inpatient care per day, typically 70 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

61 services61 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

60 services60 patients

New patient office or other outpatient visit, 45-59 minutes 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.

53 services53 patients

Follow-up hospital inpatient care per day, typically 15 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.

45 services38 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

44 services44 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

31 services31 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

23 services17 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

21 services19 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

17 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

17 services17 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

15 services15 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

12 services12 patients

Initial hospital inpatient care per day, typically 50 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.

11 services11 patients

Upper gastrointestinal (GI) endoscopy for acid reflux NAN12

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

0 services450 patients

Colonoscopy NAN13

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

0 services380 patients

Hospital Affiliations CMS Care Compare 2

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

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440046

Location111 Highway 70 EastDickson, TN 37055 · Dickson County

Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · 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.

87.18/100

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

Individually scored

Quality

84.92

Improvement Activities

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure	Performance	Number of Patients
Colorectal Cancer Screening	81%	288
Controlling High Blood Pressure	79%	102
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	43% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	37
Documentation of Current Medications in the Medical Record	98%	811
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	38%	660
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	73%	100
Use of High-Risk Medications in Older Adults	2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	257
Use of High-Risk Medications in Older Adults	0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	257
Use of High-Risk Medications in Older Adults	0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	257

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.

TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC

Internal Medicine

330 23RD AVE N, SUITE 300
NASHVILLE, TN 37203

Davidson County (615) 342-6800

TAMERA MORRIS PACE NP

Nurse Practitioner (Adult Health)

330 23RD AVE N, SUITE 330
NASHVILLE, TN 37203

Davidson County (615) 342-6800

PUTHENPURACKAL MATHEW MD

Pediatrics (Pediatric Endocrinology)

330 23RD AVE N, SUITE 450
NASHVILLE, TN 37203

Davidson County (615) 342-7339

WILLIAM HEATH FRAZIER

Nurse Practitioner (Pediatrics)

330 23RD AVE N, SUIT 350
NASHVILLE, TN 37203

Davidson County (615) 277-2300

CENTENNIAL MEDICAL CENTER

Clinic/Center

330 23RD AVE N
NASHVILLE, TN 37203

Davidson County (615) 342-5013

NASHVILLE PEDIATRIC UROLOGY, PC

Urology (Pediatric Urology)

330 23RD AVE N, SUITE 602
NASHVILLE, TN 37203

Davidson County (615) 342-7320

CAROLINE MURPHY PATTERSON CPNP

Nurse Practitioner (Pediatrics)

330 23RD AVE N
NASHVILLE, TN 37203

Davidson County (615) 342-7320

CASSIE CALDER APRN

Nurse Practitioner (Family)

330 23RD AVE N, SUITE 300
NASHVILLE, TN 37203

Davidson County (615) 342-6010

IRA E STEIN M. D.
NPI 1790757821
Internal Medicine - Gastroenterology in Nashville, TN

About Ira E Stein M. D. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 20

Hospital Affiliations CMS Care Compare 2

Tristar Horizon Medical Center

Tristar Centennial Medical Center

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

MIPS Quality Measures

Other Providers at the Same Location NPPES 20

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