1. Home
  2. Directory
  3. Florida
  4. Bonita Springs
  5. Psychiatry Neurology
  6. NPI Profile

DR. STEPHEN POULOS M.D.
NPI 1922447960
Psychiatry & Neurology - Psychiatry in Bonita Springs, FL

Active since June 24, 2013PECOS Enrolled
84.5/100
CMS Quality Rating
3372 WOODS EDGE CIR STE 101, BONITA SPRINGS, FL 34134(239) 799-7873 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2022, Aug 7, 2019 (2 updates tracked since 2019).

About Dr. Stephen Poulos M.d. NPPES

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

DR. STEPHEN POULOS M.D. (NPI 1922447960) is an individual psychiatry provider in Bonita Springs, Florida, licensed in Florida (ME156827) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922447960
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. STEPHEN POULOSCredential: M.D.
Location Address3372 WOODS EDGE CIR STE 101Bonita Springs, FL 34134-3436
Mailing Address3372 Woods Edge Cir Ste 101Bonita Springs, FL 34134-3436 · (239) 799-7873
Phone(239) 799-7873
Sole ProprietorYes
Enumeration DateJune 24, 2013
Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1922447960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in FL · ME156827✔ Licensed in TN · MDST768✔ Licensed in OH · 35131835✔ Licensed in WY · 11396A
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3372 WOODS EDGE CIR STE 101, Bonita Springs, FL 34134
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11200 Ralston AveDefiance, OH 43512-1396 · Phone (419) 783-4418 · Fax (419) 783-6957
Location 25348 Lamme RdMoraine, OH 45439-3215 · Phone (937) 534-4651 · Fax (937) 522-8779

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Poulos M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stephen Poulos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Physicians, Inc.
911 mi
Vascular Surgery
1251 NILLES RD, SUITE 17
Fairfield, OH 45014
  • Reassigned Medicare billing, Ohio enrollment
  • 364 clinicians in this Medicare group
NPI 1235554650 (937) 829-7133
Kettering Independent Medical Group Inc
928 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
Defiance Hospital, Inc.
1,042 mi
Physical Therapy
851 S CLINTON ST, ATTEN: CBO
Defiance, OH 43512
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1629216684 (419) 824-7576

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34134 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 4

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

JENNIFER PEARCE ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3372 WOODS EDGE CIR STE 101
BONITA SPRINGS, FL 34134
Lee County (239) 799-7873
SHAFFER HEALTHCARE ENTERPRISES INC.
In Home Supportive Care
3372 WOODS EDGE CIR STE 101
BONITA SPRINGS, FL 34134
Lee County (239) 778-7240
STEVEN JOHN SHAFFER
Home Health Aide
3372 WOODS EDGE CIR STE 101
BONITA SPRINGS, FL 34134
Lee County (239) 778-7240
MOSCATO ENTERPRISES LLC
Home Health
3372 WOODS EDGE CIR STE 101
BONITA SPRINGS, FL 34134
Lee County (716) 870-6361

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 Poulos's NPI number?

The NPI number for Stephen Poulos is 1922447960. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Stephen Poulos located?

Stephen Poulos practices at 3372 Woods Edge Cir Ste 101, Bonita Springs, FL 34134. The listed phone number is (239) 799-7873.

What is Stephen Poulos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Stephen Poulos enrolled in Medicare?

Yes. Stephen Poulos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephen Poulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Poulos reassigns Medicare benefits to 3 organizations: Alliance Physicians, Inc. (Fairfield, OH), Kettering Independent Medical Group Inc (Miamisburg, OH) and Defiance Hospital, Inc. (Defiance, OH). 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 Poulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Poulos accept?

Health plans from Blue Cross Blue Shield of Wyoming and CareSource list Stephen Poulos 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.

When was this NPI record last updated?

The NPPES record for Stephen Poulos was last updated on September 28, 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.