STEPHEN MEHANNI M.D.
NPI 1871859975
Hospitalist in Gallup, NM

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2016, May 12, 2016 (2 updates tracked since 2016).

About Stephen Mehanni M.d. NPPES

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

STEPHEN MEHANNI M.D. (NPI 1871859975) is an individual hospitalist provider in Gallup, New Mexico, licensed in New Mexico (MD2016-0420) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of University Of South Florida College Of Medicine (2012).

NPPES Registry Identity

NPI1871859975
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSTEPHEN MEHANNICredential: M.D.
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address533 Parnassus Ave, Room U101, Box 0131San Francisco, CA 94143-2208
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2012
Enumeration DateApril 3, 2012
Last NPPES UpdateJuly 15, 20162 updates tracked since enumeration
NPI 1871859975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in NM · MD2016-0420 Licensed in OR · MD167499
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
516 E NIZHONI BLVD, Gallup, NM 87301

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 Mehanni 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 ID9032354972
PECOS Enrollment IDI20170320002479
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
106 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services74 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
76 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers33 claims33 services$18.93 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
2 suppliers33 claims33 services$107.64 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.

Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301

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 Mehanni's NPI number?

The NPI number for Stephen Mehanni is 1871859975. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Stephen Mehanni located?

Stephen Mehanni practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Stephen Mehanni's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Stephen Mehanni enrolled in Medicare?

Yes. Stephen Mehanni 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 Stephen Mehanni affiliated with any hospitals?

According to CMS data, Stephen Mehanni is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Mehanni was last updated on July 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.