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ANDREW M STEIN SR. M.D.
NPI 1801891619
Otolaryngology - Otolaryngic Allergy in Ashland, OH

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2212 MIFFLIN AVENUE, SUITE 130, ASHLAND, OH 44805(419) 289-8919(419) 289-9563 Get Directions Write a Review

NPPES record last updated: November 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2025, Feb 3, 2020 (2 updates tracked since 2020).

About Andrew M Stein Sr. M.d. NPPES

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

ANDREW M STEIN SR. M.D. (NPI 1801891619) is an individual otolaryngic allergy provider in Ashland, Ohio, licensed in Ohio (35069631) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Samaritan Medical Center, and is a graduate of Ohio State University College Of Medicine (1991).

NPPES Registry Identity

NPI1801891619
Entity TypeIndividualMale
Primary Taxonomy207YX0602X
Provider Legal NameANDREW M STEIN SR.Credential: M.D.
Location Address2212 MIFFLIN AVENUE, SUITE 130Ashland, OH 44805
Mailing Address2212 Mifflin Avenue, Suite 130Ashland, OH 44805 · (419) 289-8919 · Fax (419) 289-9563
Phone(419) 289-8919
Fax(419) 289-9563
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1991
Enumeration DateJune 17, 2005
Last NPPES UpdateNovember 16, 20252 updates tracked since enumeration
NPPES CertifiedNovember 16, 2025
✔ NPI 1801891619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License✔ Licensed in OH · 35069631
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
2212 MIFFLIN AVENUE, Ashland, OH 44805
Open in Google Maps ↗

Other Identifiers 1

Medicaid0256379OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew M Stein Sr. 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 ID5193750289
PECOS Enrollment IDI20050927001607
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Stein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ashland Otolaryngology, Head & Neck Surgery, Inc.
Same address
Otolaryngology
2212 MIFFLIN AVENUE, SUITE 130
Ashland, OH 44805
  • Reassigned Medicare billing, Ohio enrollment
NPI 1811065386 (419) 289-8919
Oh Independent Medical Group LLC
67 mi
Family Medicine
3430 OHIO HEALTH PKWY
Columbus, OH 43202
  • Reassigned Medicare billing, Ohio enrollment
  • 174 clinicians in this Medicare group
NPI 1497482111 (614) 566-0152

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,334 services60 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
930 services43 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
585 services15 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
420 services15 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
336 services17 patients
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.
268 services206 patients

Hospital Affiliations CMS Care Compare 2

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

University Hospitals Samaritan Medical Center

Acute Care Hospitals · Ashland, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360002
Location1025 Center StAshland, OH 44805 · Ashland County

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%576 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
15%593 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
24%38 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%998 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%2,664 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,285 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%3,360 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%2,788 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
0%929 patients1/55-star benchmark: 90%
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…
13%2,090 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
1%772 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 87% · 663 patients
100%663 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
51%2,788 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%2,788 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$53.22 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$19.98 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers12 claims12 services$16.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims90 services$2.20 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 2

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

MICHAEL T NEEL RN,CFNP
Nurse Practitioner (Family)
2212 MIFFLIN AVENUE, SUITE 130
ASHLAND, OH 44805
Ashland County (419) 289-8919
ASHLAND OTOLARYNGOLOGY, HEAD & NECK SURGERY, INC.
Otolaryngology
2212 MIFFLIN AVENUE, SUITE 130
ASHLAND, OH 44805
Ashland County (419) 289-8919

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 Andrew Stein's NPI number?

The NPI number for Andrew Stein is 1801891619. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Andrew Stein located?

Andrew Stein practices at 2212 Mifflin Avenue Suite 130, Ashland, OH 44805. The listed phone number is (419) 289-8919.

What is Andrew Stein's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

Is Andrew Stein enrolled in Medicare?

Yes. Andrew Stein 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.

Which organizations bill Medicare for Andrew Stein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Stein reassigns Medicare benefits to 2 organizations: Ashland Otolaryngology, Head & Neck Surgery, Inc. (Ashland, OH) and Oh Independent Medical Group LLC (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Stein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Stein accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Andrew Stein 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 Andrew Stein affiliated with any hospitals?

According to CMS data, Andrew Stein is affiliated with University Hospitals Samaritan Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Stein was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.