1. Home
  2. Directory
  3. Texas
  4. Sugar Land
  5. Internal Medicine
  6. NPI Profile

ELIAS STEPHAN MD
NPI 1811981996
Internal Medicine - Endocrinology, Diabetes & Metabolism in Sugar Land, TX

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
15200 SOUTHWEST FWY, 230, SUGAR LAND, TX 77478(281) 980-1899(855) 360-9600 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elias Stephan Md NPPES

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

ELIAS STEPHAN MD (NPI 1811981996) is an individual endocrinology, diabetes & metabolism provider in Sugar Land, Texas, licensed in Texas (L4734) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1811981996
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameELIAS STEPHANCredential: MD
Location Address15200 SOUTHWEST FWY, 230Sugar Land, TX 77478-3845
Mailing AddressPo Box 18797Sugar Land, TX 77496-8797 · (281) 980-1899 · Fax (281) 980-1914
Phone(281) 980-1899
Fax(855) 360-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 6, 2005
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1811981996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · L4734
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
15200 SOUTHWEST FWY, Sugar Land, TX 77478
Open in Google Maps ↗

Other Identifiers 3

Other7362515TX · Aetna Provider Id Number
Other8V4810TX · Bcbs Pin
Other05086764TX · Ecfmg Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.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

Elias Stephan Md 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 ID9032188081
PECOS Enrollment IDI20040928000134
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 11

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
449 services42 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
332 services42 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
312 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
285 services119 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.
202 services115 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
103 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Matagorda Regional Medical Center

Acute Care Hospitals · Bay City, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450465
Location104 7th StreetBay City, TX 77414 · Matagorda County
Emergency services Birthing friendly

El Campo Memorial Hospital

Acute Care Hospitals · El Campo, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450694
Location303 Sandy Corner RdEl Campo, TX 77437 · Wharton County
Emergency services

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Sweeny Community Hospital

Critical Access Hospitals · Sweeny, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451311
Location305 North MckinneySweeny, TX 77480 · Brazoria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
60%314 patients3/55-star benchmark: 99%
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.
91%2,754 patients4/55-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%661 patients4/55-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.
83%542 patients4/55-star benchmark: 99%
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…
23%926 patients1/55-star benchmark: 97%
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…
81%542 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%542 patients1/55-star benchmark: 59%
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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers11 claims120 services$18.70 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers62 claims138 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers17 claims20 services$1.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers211 claims211 services$191.24 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 20

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

FORT BEND GERIATRICS, PA
Internal Medicine (Geriatric Medicine)
15200 SOUTHWEST FWY, SUITE 180
SUGAR LAND, TX 77478
Fort Bend County (281) 491-6767
SUGAR LAND DERMATOLOGY PA
Dermatology (Procedural Dermatology)
15200 SOUTHWEST FWY, #270
SUGAR LAND, TX 77478
Fort Bend County (281) 980-1899
PATTY MARTIN DUHON RD, MPH, RD
Dietitian, Registered
15200 SOUTHWEST FWY, SUITE 130
SUGAR LAND, TX 77478
Fort Bend County (832) 453-2128
SOHAIL R. SIDDIQUI,M.D.,P.A.
Internal Medicine
15200 SOUTHWEST FWY, SUITE 200
SUGAR LAND, TX 77478
Fort Bend County (281) 634-7800
DR. SANGEETA SAIKIA M.D.
Internal Medicine (Cardiovascular Disease)
15200 SOUTHWEST FWY, SUITE 290
SUGAR LAND, TX 77478
Fort Bend County (281) 980-2010
DR. SOHAIL R SIDDIQUI M.D.
Internal Medicine
15200 SOUTHWEST FWY, STE 285
SUGAR LAND, TX 77478
Fort Bend County (281) 634-7800
DR. CARL W OGLETREE M.D.
Urology
15200 SOUTHWEST FWY, SUITE 380
SUGAR LAND, TX 77478
Fort Bend County (281) 565-3569
MRS. ELIZABETH ADEBOLA BABALOLA APRN-BC
Nurse Practitioner (Family)
15200 SOUTHWEST FWY, SUITE #180
SUGAR LAND, TX 77478
Fort Bend County (281) 491-6767

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 Elias Stephan's NPI number?

The NPI number for Elias Stephan is 1811981996. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Elias Stephan located?

Elias Stephan practices at 15200 Southwest Fwy 230, Sugar Land, TX 77478. The listed phone number is (281) 980-1899.

What is Elias Stephan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Elias Stephan enrolled in Medicare?

Yes. Elias Stephan 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 Elias Stephan accept?

Health plans from Community Health Choice list Elias Stephan 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 Elias Stephan affiliated with any hospitals?

According to CMS data, Elias Stephan is affiliated with Houston Methodist Hospital, Matagorda Regional Medical Center, El Campo Memorial Hospital, Houston Methodist Sugarland Hospital and Sweeny Community Hospital.

When was this NPI record last updated?

The NPPES record for Elias Stephan was last updated on April 24, 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.