PETER DOUGLAS STEPHAN (MD) – Family Medicine Physician, NPI 1548266307
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
Provider Addresses for PETER DOUGLAS STEPHAN (MD)
188 E SOUTHWAY BLVD
KOKOMO, IN 469023650
Phone: (765) 453-9000
Type: Location
520, West 96th Street, Carmel, Hamilton County, Indiana, 46260, United States
INDIANAPOLIS, IN 462601316
Phone:
Type: Mailing
West Main Street, Greentown, Howard County, Indiana, 46936, United States
GREENTOWN, IN 469361045
Phone: (765) 628-3317
Type: Location
712 W Main St
Greentown, IN 469361045
Phone: (765) 628-3317
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,671.
Total Amount is formed as General ($1,671) + Research ($0) + Ownership ($0) = $1,671.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($602).
Total Amount
$1,671
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $602 |
| Novo Nordisk Inc | $308 |
| ABBVIE INC. | $216 |
| Abbott Laboratories | $150 |
| PFIZER INC. | $125 |
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: 2004-05-12
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 |
|---|---|---|---|---|
| I20040512001003 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 55 | $0 |
| 83036 | Hemoglobin a1c level | 20 | 17 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | 19 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 16 | 15 | $0 |
Insurance plans in this area (ZIP 46902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| Pulmonary Disease, Critical Care (Intensivists) | IN | |
| General Surgery, Thoracic Surgery | IN | |
| - | IN | |
| - | NY | |
| Interventional Radiology | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | IN |
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