ETHAN STEPHENS DO
NPI 1932723020
Family Medicine in Jackson, OH

Q: What is Ethan Stephens's NPI number?

The NPI number for Ethan Stephens is 1932723020. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Q: What is Ethan Stephens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Stephens was last updated on July 24, 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.

Active since June 03, 2020PECOS Enrolled

81.42/100

CMS Quality Rating

280 PATTONSVILLE RD, JACKSON, OH 45640(740) 446-5937(740) 395-8834 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 24, 2023, Jul 21, 2023, Dec 22, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Ethan Stephens Do NPPES

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

ETHAN STEPHENS DO (NPI 1932723020) is an individual family medicine provider in Jackson, Ohio, licensed in Ohio (34.016718) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932723020

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameETHAN STEPHENSCredential: DO

Location Address280 PATTONSVILLE RDJackson, OH 45640-9452

Mailing Address100 Jackson PikeGallipolis, OH 45631-1560

Phone(740) 446-5937

Fax(740) 395-8834

Sole ProprietorNo

Enumeration DateJune 3, 2020

Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1932723020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34.016718

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.

280 PATTONSVILLE RD, Jackson, OH 45640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Stephens Do 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

Medicare enrollment records show Ethan Stephens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gallia County Commissioners

25 mi

Public Health or Welfare

499 JACKSON PIKE, SUITE D
Gallipolis, OH 45631

Reassigned Medicare billing, Ohio enrollment
2 clinicians in this Medicare group

NPI 1366576621 (740) 441-2950

Houston Carenow Urgent Care PLLC

955 mi

Family Medicine

10422 RESEARCH FOREST DR
Magnolia, TX 77354

Reassigned Medicare billing, Texas enrollment
101 clinicians in this Medicare group

NPI 1093251860 (832) 702-7699

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

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 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.

126 services87 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.

32 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45640 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

81.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.28

Promoting Interoperability

100

Improvement Activities

Cost

57.96

Reported Quality Measures

Breast Cancer Screening

74%113 patients4/55-star benchmark: 93%

Colorectal Cancer Screening

60%282 patients3/55-star benchmark: 88%

Diabetes: Eye Exam

70%107 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

17%107 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%840 patients4/55-star benchmark: 100%

e-Prescribing

99%271 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

37%400 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 495 patients

Patients screened: 100% · 495 patients

78%130 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

89%405 patients4/55-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.

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.

BREANNA MORGAN CNP

Family Medicine