STEPHEN OSTERBERG – Surgery Physician, NPI 1457814071

STEPHEN OSTERBERG is a healthcare provider. based in Atlanta, Georgia. specializing in GENERAL SURGERY. They hold a License No. A195723 (CA). The NPI Number for STEPHEN OSTERBERG is 1457814071

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN OSTERBERG
NPI
1457814071
Phone
(404) 265-4411
Address
303 PARKWAY DR NE
Enumeration Date
10 April 2019
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5305435711
Graduation Year
2019 (7 years ago)
PAC ID
8628516242
Group Practice PAC ID
5395127682
Professional Enrollment ID
I20240814002526
Address ID
CA961507024SO2175XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for STEPHEN OSTERBERG

  • Wellstar Atlanta Medical Center, 303, Parkway Drive Northeast, Sweet Auburn, Atlanta, Fulton County, Georgia, 30312, United States

    ATLANTA, GA 303121212

    Phone: (404) 265-4411

    Type: Location

  • 2175 SOUTH AVE

    SOUTH LAKE TAHOE, CA 961507024

    Phone: (530) 543-5691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $257.

Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: PolyNovo North America LLC ($123).

Total Amount

$257

General + Research + Ownership

Payments

3

Total payment records

General Amount

$257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240814002526IGeneral SurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30312)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395127682View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Critical Care (Intensivists), Emergency MedicineNV
Family PracticeCA
Family PracticeCA
P S Y C H I A T R YCA
Critical Care (Intensivists), Emergency Medicine, Emergency MedicineCA
O T O L A R Y N G O L O G YPA
U R O L O G YCA
Internal MedicineCA

Reviews

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Frequently asked questions

Is STEPHEN OSTERBERG listed with a National Provider Identifier?
Yes — STEPHEN OSTERBERG has NPI 1457814071 on file in the registry.
Is STEPHEN OSTERBERG still an active registrant?
STEPHEN OSTERBERG carries an active NPI according to the public dataset.
What expertise is attributed to STEPHEN OSTERBERG?
STEPHEN OSTERBERG's specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHEN OSTERBERG?
Travel planning: use Atlanta, Georgia as the reference point for STEPHEN OSTERBERG, then confirm.
When was this NPI issued?
Enumeration for STEPHEN OSTERBERG is noted as April 10, 2019 where the registry provides it.

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