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DR. LORRAINE A STEPHENS MD
NPI 1942382759
Family Medicine in Cincinnati, OH

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
4411 MONTGOMERY RD., SUITE 200, CINCINNATI, OH 45212(513) 977-6715(513) 531-2624 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lorraine A Stephens Md NPPES

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

DR. LORRAINE A STEPHENS MD (NPI 1942382759) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35061963) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1989).

NPPES Registry Identity

NPI1942382759
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LORRAINE A STEPHENSCredential: MD
Location Address4411 MONTGOMERY RD., SUITE 200Cincinnati, OH 45212-3144
Mailing AddressP.o. Box 633337Cincinnati, OH 45263-3337 · (513) 977-6700 · Fax (513) 531-2624
Phone(513) 977-6715
Fax(513) 531-2624
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1989
Enumeration DateOctober 20, 2006
Last NPPES UpdateMay 18, 2012
✔ NPI 1942382759 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 · 35061963
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.
4411 MONTGOMERY RD., Cincinnati, OH 45212
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Other Identifiers 3

Medicaid0876977OH
Medicare PIN0715631OH
Medicare UPINF26138OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Lorraine A Stephens 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 ID8921122466
PECOS Enrollment IDI20100903000832
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.
32 services21 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.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45212 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Rollabout chair, any and all types with casters 5" or greater E1031
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$28.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lorraine Stephens's NPI number?

The NPI number for Lorraine Stephens is 1942382759. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Lorraine Stephens located?

Lorraine Stephens practices at 4411 Montgomery Rd. Suite 200, Cincinnati, OH 45212. The listed phone number is (513) 977-6715.

What is Lorraine Stephens's specialty?

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

Is Lorraine Stephens enrolled in Medicare?

Yes. Lorraine Stephens 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 Lorraine Stephens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lorraine Stephens 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 Lorraine Stephens affiliated with any hospitals?

According to CMS data, Lorraine Stephens is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Lorraine Stephens was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.