DR. MASSOUD STEPHANE (MD) – Psychiatry Physician, NPI 1508941204
Psychiatry Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
710 PSYCHIATRY in WA
Provider Addresses for DR. MASSOUD STEPHANE (MD)
200, North Shadeland Avenue, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462194959
Phone: (317) 962-3834
Type: Mailing
4030 LAKE WASHINGTON BLVD NE STE 303
KIRKLAND, WA 980337870
Phone: (253) 752-7320
Type: Mailing
Indiana University Neuroscience Center / Goodman Hall, 355, West 16th Street, Indianapolis, Marion County, Indiana, 46202, United States
INDIANA UNIVERSITY PSYCHIATRIC ASSOCIATES, INC.
INDIANAPOLIS, IN 462022207
Phone: (317) 963-7300
Fax: (317) 963-7325
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 $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alkermes, Inc. ($122).
Total Amount
$230
General + Research + Ownership
Payments
2
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $122 |
| Janssen Pharmaceuticals, Inc | $109 |
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: 2023-07-21
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 |
|---|---|---|---|---|
| I20230721000719 | I | Psychiatry | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 20 | 13 | $0 |
Insurance plans in this area (ZIP 46219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | TX | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| - | IN | |
| - | IN |
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