VERED STEARNS M.D.
NPI 1861420945
Internal Medicine - Hematology & Oncology in Washington, DC

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 537-4686 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2024, Jun 22, 2023 (2 updates tracked since 2023).

About Vered Stearns M.d. NPPES

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

VERED STEARNS M.D. (NPI 1861420945) is an individual hematology & oncology provider in Washington, District Of Columbia, licensed in New York (326987) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1861420945
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameVERED STEARNSCredential: M.D.
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1861420945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in NY · 326987 Licensed in MD · D59325
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License MD042582 (DC)
5255 LOUGHBORO RD NW, Washington, DC 20016

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-8964

Other Identifiers 1

Medicaid036603001MD

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

Vered Stearns 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 ID8224160007
PECOS Enrollment IDI20240608000041
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 3

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 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.
127 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 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.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Pediatrics (Neonatal-Perinatal Medicine)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pediatrics
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Internal Medicine
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Specialist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Specialist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Emergency Medicine
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Emergency Medicine
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 Vered Stearns's NPI number?

The NPI number for Vered Stearns is 1861420945. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Vered Stearns located?

Vered Stearns practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 537-4686.

What is Vered Stearns's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Vered Stearns enrolled in Medicare?

Yes. Vered Stearns 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.

Is Vered Stearns affiliated with any hospitals?

According to CMS data, Vered Stearns is affiliated with New York-Presbyterian Hospital and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Vered Stearns was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.