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STEPHEN MERRILL CAUSEY MD
NPI 1831451814
Family Medicine in Mount Pleasant, NC

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
8560 COOK ST, MOUNT PLEASANT, NC 28124(704) 436-6521 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 53 more (56 updates tracked since 2015).

About Stephen Merrill Causey Md NPPES

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

STEPHEN MERRILL CAUSEY MD (NPI 1831451814) is an individual family medicine provider in Mount Pleasant, North Carolina, licensed in North Carolina (2015-00064) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1831451814
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN MERRILL CAUSEYCredential: MD
Location Address8560 COOK STMount Pleasant, NC 28124-7686
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 436-6521
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateJuly 15, 202456 updates tracked since enumeration
✔ NPI 1831451814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2015-00064
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8560 COOK ST, Mount Pleasant, NC 28124
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Secondary Practice Locations 4

Location 14315 Physicians Blvd, STE 101Harrisburg, NC 28075-7430 · Phone (704) 455-6521
Location 25641 Poplar Tent Rd, Ste 101Concord, NC 28027-7533 · Phone (704) 782-1955
Location 3123 Professional Park DrLocust, NC 28097-7712 · Phone (704) 403-6760
Location 4270 Copperfield Blvd NE, Ste 102Concord, NC 28025-2441 · Phone (704) 786-6521

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Stephen Merrill Causey 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 ID8123251261
PECOS Enrollment IDI20151014003162
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 12

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 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.
236 services121 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
84 services44 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.
70 services65 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services48 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28124 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims32 services$3.31 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims13 services$16.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers37 claims37 services$82.59 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
2 suppliers16 claims16 services$183.95 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.

ANDREW HNAT MD
Family Medicine
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
LARA JUNINE PONS MD
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
CAROLINAS PHYSICIANS NETWORK INC
Clinic/Center (Rural Health)
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
CAROLINAS PHYSICIANS NETWORK INC
Counselor
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
JENNIFER KING SCOTT M.D.
Student in an Organized Health Care Education/Training Program
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
SUSAN RUTH ANDERSEN MD
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Cabarrus County (704) 436-6521
CMC-NORTHEAST, INC.
Psychiatry & Neurology (Neurology)
8560 COOK ST
MT PLEASANT, NC 28124
Cabarrus County (704) 403-1911
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Cabarrus County (704) 436-6521

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 Causey's NPI number?

The NPI number for Stephen Causey is 1831451814. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Stephen Causey located?

Stephen Causey practices at 8560 Cook St, Mount Pleasant, NC 28124. The listed phone number is (704) 436-6521.

What is Stephen Causey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Causey enrolled in Medicare?

Yes. Stephen Causey 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 Stephen Causey accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Stephen Causey 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 Stephen Causey affiliated with any hospitals?

According to CMS data, Stephen Causey is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Causey was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.