MR. STEVEN PRIBANICH MD
NPI 1912918343
Family Medicine in Crossville, TN

Active since August 10, 2006PECOS Enrolled
60.17/100
CMS Quality Rating
57 W ADAMS ST, CROSSVILLE, TN 38555(931) 484-7675(931) 484-3045 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Steven Pribanich Md NPPES

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

MR. STEVEN PRIBANICH MD (NPI 1912918343) is an individual family medicine provider in Crossville, Tennessee, licensed in Tennessee (MD34621) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912918343
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. STEVEN PRIBANICHCredential: MD
Location Address57 W ADAMS STCrossville, TN 38555-4836
Mailing Address848 Livingston Rd, Suite 101, Pmb #49Crossville, TN 38555-6740 · (931) 484-7675 · Fax (931) 484-3045
Fax(931) 484-3045
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 2, 2019
NPI 1912918343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD34621
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.
57 W ADAMS ST, Crossville, TN 38555

Other Identifiers 2

Other4231180TN · Bcbs
Other38586451TN · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Steven Pribanich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

60.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.64
Improvement Activities0
Cost67.71

Reported Quality Measures

Breast Cancer Screening
100%37 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
100%70 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 17

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
11 suppliers34 claims115 services$6.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims31 services$1.17 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers61 claims61 services$41.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers40 claims40 services$106.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers37 claims78 services$43.76 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims61 services$23.75 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 6

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

Clinic/Center (Primary Care)
57 W ADAMS ST
CROSSVILLE, TN 38555
Clinic/Center
57 W ADAMS ST
CROSSVILLE, TN 38555
Family Medicine
57 W ADAMS ST
CROSSVILLE, TN 38555
Internal Medicine
57 W ADAMS ST
CROSSVILLE, TN 38555
Family Medicine (Sports Medicine)
57 W ADAMS ST
CROSSVILLE, TN 38555
Physician Assistant (Medical)
57 W ADAMS ST
CROSSVILLE, TN 38555

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 Steven Pribanich's NPI number?

The NPI number for Steven Pribanich is 1912918343. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Steven Pribanich located?

Steven Pribanich practices at 57 W Adams St, Crossville, TN 38555. The listed phone number is (931) 484-7675.

What is Steven Pribanich's specialty?

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

Is Steven Pribanich enrolled in Medicare?

Yes. Steven Pribanich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Steven Pribanich was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.