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DR. PETER J STERN M.D.
NPI 1801882311
Orthopaedic Surgery - Hand Surgery in Cincinnati, OH

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
538 OAK ST, SUITE 200, CINCINNATI, OH 45219(513) 961-4263(513) 961-1503 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter J Stern M.d. NPPES

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

DR. PETER J STERN M.D. (NPI 1801882311) is an individual hand surgery provider in Cincinnati, Ohio, licensed in Ohio (35.042929) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Washington University School Of Medicine (1970).

NPPES Registry Identity

NPI1801882311
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. PETER J STERNCredential: M.D.
Location Address538 OAK ST, SUITE 200Cincinnati, OH 45219-2507
Mailing Address4685 Forest Ave, Ste CCincinnati, OH 45212-3359 · (513) 853-4731 · Fax (513) 569-5199
Phone(513) 961-4263
Fax(513) 961-1503
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1970
Enumeration DateSeptember 21, 2005
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1801882311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in OH · 35.042929
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedSpecialistTaxonomy 174400000X · License 35042929 (OH)
538 OAK ST, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 6

Medicare PIN0456055OH
Medicare PINH216940OH
Medicaid0384552OH
Medicare PIN100332820AIN
Medicare PIN020012559OH
Medicare UPINA77915OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Dr. Peter J Stern 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 ID9931137437
PECOS Enrollment IDI20100303000169
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 2

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.
30 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
3%93 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%67 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
17%95 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%99 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

DR. THOMAS R. KIEFHABER M.D.
Orthopaedic Surgery (Hand Surgery)
538 OAK ST
CINCINNATI, OH 45219
Hamilton County (513) 354-3700
THE HAND AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
538 OAK ST, SUITE 100
CINCINNATI, OH 45219
Hamilton County (513) 961-7740
MARY S. STERN HAND SURGERY FOUNDATION
Specialist
538 OAK ST, STE 200
CINCINNATI, OH 45219
Hamilton County (513) 961-4263
TRIHEALTH OS, LLC
Orthopaedic Surgery (Hand Surgery)
538 OAK ST, SUITE 200
CINCINNATI, OH 45219
Hamilton County (513) 961-4263
DR. SAFI RAHMAN FARUQUI D.O.
Orthopaedic Surgery
538 OAK ST
CINCINNATI, OH 45219
Hamilton County (513) 354-3700

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 Peter Stern's NPI number?

The NPI number for Peter Stern is 1801882311. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Peter Stern located?

Peter Stern practices at 538 Oak St Suite 200, Cincinnati, OH 45219. The listed phone number is (513) 961-4263.

What is Peter Stern's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Peter Stern enrolled in Medicare?

Yes. Peter Stern 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 Peter Stern accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Peter Stern 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 Peter Stern affiliated with any hospitals?

According to CMS data, Peter Stern is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Peter Stern was last updated on September 30, 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.