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DR. STEPHEN JOSEPH WALL M.D.,PH.D.
NPI 1861405706
Otolaryngology in Washington, DC

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
2021 K ST NW STE 400, WASHINGTON, DC 20006(202) 833-3500(202) 833-3503 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stephen Joseph Wall M.d.,ph.d. NPPES

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

DR. STEPHEN JOSEPH WALL M.D.,PH.D. (NPI 1861405706) is an individual otolaryngology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD32942) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861405706
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. STEPHEN JOSEPH WALLCredential: M.D.,PH.D.
Location Address2021 K ST NW STE 400Washington, DC 20006-1009
Mailing Address2021 K St Nw Ste 400Washington, DC 20006-1009 · (202) 833-3500 · Fax (202) 833-3503
Phone(202) 833-3500
Fax(202) 833-3503
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 14, 2006
Last NPPES UpdateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1861405706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in DC · MD32942✔ Licensed in DC · MD 32942
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2021 K ST NW STE 400, Washington, DC 20006
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Other Identifiers 1

OtherB593 - 0004DC · Blue Cross /blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Oscar Health, Oscar Insurance Company 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

Dr. Stephen Joseph Wall M.d.,ph.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 ID7618865593
PECOS Enrollment IDI20251008002926, I20251224001863
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

4

Medicare enrollment records show Stephen Wall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Altoona Regional Health Services, Inc
133 mi
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
NPI 1396724217 (814) 946-1655
Covenant Medical Center Inc
839 mi
Emergency Medicine
3421 W 9TH ST
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 271 clinicians in this Medicare group
NPI 1528009545 (319) 272-7600
Memorial Hospital Of Converse County
1,502 mi
General Practice
111 S 5TH ST
Douglas, WY 82633
  • Reassigned Medicare billing, Wyoming enrollment
  • 131 clinicians in this Medicare group
NPI 1356496491 (307) 358-2122
Nor-Lea Hospital District
1,521 mi
Rural Health
515 E MAIN ST
Hobbs, NM 88240
  • Reassigned Medicare billing, New Mexico enrollment
  • Also billed through NPI 1881630036 (New Mexico)
  • 154 clinicians in this Medicare group
NPI 1528002805 (575) 397-0560

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 5

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.
28 services23 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.
26 services26 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
15 services15 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number321305
Location1600 North Main AveLovington, NM 88260 · Lea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20006 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Reported Quality Measures

Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
66%264 patients3/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
0%210 patients1/55-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 2

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

DAN TALIAFERRO BRODY MD
Allergy & Immunology
2021 K ST NW STE 400
WASHINGTON, DC 20006
District of Columbia (202) 833-3500
HENRY J FISHMAN , M.D., P.C.
Allergy & Immunology (Allergy)
2021 K ST NW STE 400
WASHINGTON, DC 20006
District of Columbia (202) 833-3500

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 Wall's NPI number?

The NPI number for Stephen Wall is 1861405706. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Stephen Wall located?

Stephen Wall practices at 2021 K St NW Ste 400, Washington, DC 20006. The listed phone number is (202) 833-3500.

What is Stephen Wall's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Stephen Wall enrolled in Medicare?

Yes. Stephen Wall 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 Stephen Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Wall reassigns Medicare benefits to 4 organizations: Upmc Altoona Regional Health Services, Inc (Altoona, PA), Covenant Medical Center Inc (Waterloo, IA), Memorial Hospital Of Converse County (Douglas, WY) and Nor-Lea Hospital District (Hobbs, NM). 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 Stephen Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Wall accept?

Health plans from Blue Cross Blue Shield of Wyoming, Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Stephen Wall 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 Wall affiliated with any hospitals?

According to CMS data, Stephen Wall is affiliated with Mercyone Waterloo Medical Center and Nor-Lea Hospital District.

When was this NPI record last updated?

The NPPES record for Stephen Wall was last updated on March 31, 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.