DR. STEPHANIE CONCEPCION (M.D.) – General Practice Physician, NPI 1114137510
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,466 GENERAL PRACTICE in FL
Provider Addresses for DR. STEPHANIE CONCEPCION (M.D.)
2460 OLD MOULTRIE RD STE 1
ST AUGUSTINE, FL 320864198
Phone:
Type: Mailing
1542 KINGSLEY AVE STE 146
ORANGE PARK, FL 320734547
Phone: (904) 269-2990
Type: Location
Centro Juguetes Y Algo Mas, Ave Dr Pedro Albizu Campos, Avenida Dr. Pedro Albizu Campos, Residencial Dr. Agustín Stahl, Jardín de Borinquen, Reparto Solá, Borinquen, Aguadilla, Puerto Rico, 00603, United States
STE 2 PMB 146
AGUADILLA, PR 006035950
Phone: (787) 934-9283
Type: Mailing
CARR #2 KM 141.1 AVE KENNEDY
AGUADILLA, PR 00603
Phone: (787) 658-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2023-06-27 • Largest payer in this snapshot: PFIZER INC. ($23).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $23 |
| AstraZeneca Pharmaceuticals LP | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230627002211 | I | General Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| Family Practice | FL | |
| Preventive Medicine, General Practice | FL |
Reviews
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