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DR. STEPHANIE LANAE BURGER M.D.
NPI 1992099402
Otolaryngology in Sioux City, IA

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
4301 SERGEANT ROAD- EAR NOSE & THROAT CONSULTANTS, STE 215, SIOUX CITY, IA 51106(605) 217-4320(605) 217-2948 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2022, Jan 10, 2022, Jun 16, 2016 (3 updates tracked since 2016).

About Dr. Stephanie Lanae Burger M.d. NPPES

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

DR. STEPHANIE LANAE BURGER M.D. (NPI 1992099402) is an individual otolaryngology provider in Sioux City, Iowa, licensed in Iowa (10561) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2011).

NPPES Registry Identity

NPI1992099402
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. STEPHANIE LANAE BURGERCredential: M.D.
Location Address4301 SERGEANT ROAD- EAR NOSE & THROAT CONSULTANTS, STE 215Sioux City, IA 51106
Mailing Address101 Tower Rd- Ear Nose & Throat Consultants, Ste 120Dakota Dunes, SD 57049 · (605) 217-4320 · Fax (605) 217-2948
Phone(605) 217-4320
Fax(605) 217-2948
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateSeptember 30, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1992099402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in IA · 10561✔ Licensed in IA · R-9147✔ Licensed in SD · 43079
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4301 SERGEANT ROAD- EAR NOSE & THROAT CONSULTANTS, Sioux City, IA 51106
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Other Names 1

Former Name (1)Dr. Stephanie Lanae Hulstein Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Lanae Burger M.d. 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 ID3971742073
PECOS Enrollment IDI20160722002152, I20171030002253
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

2

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

David Van Wagner MD PC
5.6 mi
Otolaryngology
2730 PIERCE ST STE 204
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 2 clinicians in this Medicare group
NPI 1194076349 (712) 234-8787
Ear Nose And Throat Consultants And Hearing Services Plc
8.4 mi
Otolaryngology
101 TOWER RD, SUITE 120
Dakota Dunes, SD 57049
  • Reassigned Medicare billing, Iowa and South Dakota enrollments
  • 13 clinicians in this Medicare group
NPI 1114141546 (605) 217-4320

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 9

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.
108 services80 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.
73 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
50 services42 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
36 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Hawarden Regional Healthcare

Critical Access Hospitals · Hawarden, IA
OwnershipGovernment - Local
CMS Certification Number161311
Location1111 11th StreetHawarden, IA 51023 · Sioux County
Emergency services

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51106 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
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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 Stephanie Burger's NPI number?

The NPI number for Stephanie Burger is 1992099402. It was assigned to this individual provider in the NPPES registry on June 1, 2011. The provider is also known as Dr. Stephanie Lanae Hulstein MD.

Where is Stephanie Burger located?

Stephanie Burger practices at 4301 Sergeant Road- Ear Nose & Throat Consultants Ste 215, Sioux City, IA 51106. The listed phone number is (605) 217-4320.

What is Stephanie Burger's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Stephanie Burger enrolled in Medicare?

Yes. Stephanie Burger 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.

Which organizations bill Medicare for Stephanie Burger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Burger reassigns Medicare benefits to 2 organizations: David Van Wagner MD PC (Sioux City, IA) and Ear Nose And Throat Consultants And Hearing Services Plc (Dakota Dunes, SD). 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 Stephanie Burger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Burger accept?

Health plans from Avera Health Plans, Oscar Health, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Stephanie Burger 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 Stephanie Burger affiliated with any hospitals?

According to CMS data, Stephanie Burger is affiliated with St Lukes Regional Medical Center, Hawarden Regional Healthcare, Sioux Center Health, Orange City Area Health System and Cherokee Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Burger was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.