STEPHEN HOELSCHER MD
NPI 1881044196
Internal Medicine in Clive, IA

Q: What is Stephen Hoelscher's NPI number?

The NPI number for Stephen Hoelscher is 1881044196. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Q: What is Stephen Hoelscher's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Hoelscher was last updated on April 1, 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.

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment

12493 UNIVERSITY AVE STE 110, CLIVE, IA 50325(515) 358-9400(515) 358-9420 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2024, Nov 6, 2019, Jun 21, 2016 and 1 more (4 updates tracked since 2016).

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About Stephen Hoelscher Md NPPES

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

STEPHEN HOELSCHER MD (NPI 1881044196) is an individual internal medicine provider in Clive, Iowa, licensed in Iowa (MD-46665) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2016).

NPPES Registry Identity

NPI1881044196

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSTEPHEN HOELSCHERCredential: MD

Location Address12493 UNIVERSITY AVE STE 110Clive, IA 50325-8286

Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 358-9400 · Fax (515) 358-9420

Phone(515) 358-9400

Fax(515) 358-9420

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2016

Enumeration DateJune 17, 2016

Last NPPES UpdateApril 1, 20244 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1881044196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IA · MD-46665✔ Licensed in IL · 125069259

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License MD-46665 (IA)

12493 UNIVERSITY AVE STE 110, Clive, IA 50325

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 Hoelscher 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 ID9436441516

PECOS Enrollment IDI20191111002545

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 2

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.

61 services24 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.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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

7 suppliers19 claims69 services$6.13 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims25 services$1.16 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$808.94 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

3 suppliers27 claims27 services$205.56 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

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

KATE PITHAN PA-C

Physician Assistant

12493 UNIVERSITY AVE STE 110
CLIVE, IA 50325

Polk County (515) 358-9400

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 Hoelscher's NPI number?

The NPI number for Stephen Hoelscher is 1881044196. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Stephen Hoelscher located?

Stephen Hoelscher practices at 12493 University Ave Ste 110, Clive, IA 50325. The listed phone number is (515) 358-9400.

What is Stephen Hoelscher's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephen Hoelscher enrolled in Medicare?

Yes. Stephen Hoelscher 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 Hoelscher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Stephen Hoelscher 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 Hoelscher affiliated with any hospitals?

According to CMS data, Stephen Hoelscher is affiliated with Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Hoelscher was last updated on April 1, 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.