STEPHANIE A EZEBUIRO (MD) – Family Medicine Physician, NPI 1013437797
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
Provider Addresses for STEPHANIE A EZEBUIRO (MD)
250 Laurel St
Des Moines, IA 503143024
Phone: (515) 612-9595
Fax: (515) 643-4662
Type: Location
PO BOX 1475
DES MOINES, IA 503051475
Phone: (515) 643-2682
Fax: (515) 643-5802
Type: Mailing
1445 SE MESA DR
WAUKEE, IA 502631308
Phone: (202) 558-8470
Type: Mailing
1000 73RD ST STE 20
WEST DES MOINES, IA 502651321
Phone: (515) 223-6794
Type: Location
MercyOne Des Moines Medical Center, 1111, 6th Avenue, Des Moines, Polk County, Iowa, 50314, United States
DES MOINES, IA 503142613
Phone: (515) 643-2682
Fax: (515) 643-5802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Amgen Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $20 |
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: 2025-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20191114002778 | I | Family Practice | IA | TBD |
| I20241014000759 | I | Family Practice | GA | TBD |
| I20250509000542 | I | Emergency Medicine | AL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 256 | 237 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 94 | 90 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 29 | 28 | $0 |
| 99291 | Critical care, first 30-74 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 50314)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Nurse Practitioner | AL | |
| Emergency Medicine, Family Practice | OH | |
| Family Practice | GA | |
| H O S P I T A L I S T | GA | |
| Nurse Practitioner | AL | |
| Emergency Medicine | TX | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Family Practice, Emergency Medicine | GA |
Reviews
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