STEPHANIE POPE (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1275846669

STEPHANIE POPE (M.D.) is a healthcare provider. based in Chagrin falls, Ohio. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 35.125055 (OH). The NPI Number for STEPHANIE POPE (M.D.) is 1275846669

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE POPE (M.D.)
NPI
1275846669
Phone
Not provided
Address
512 WASHINGTON ST STE A
Enumeration Date
14 July 2010
Last Update Date
12 June 2023

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
4409515600
Graduation Year
2010 (16 years ago)
PAC ID
5092023978
Group Practice PAC ID
5092704486
Professional Enrollment ID
I20150925000857
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

Provider Addresses for STEPHANIE POPE (M.D.)

  • 512 WASHINGTON ST STE A

    CHAGRIN FALLS, OH 440224453

    Phone:

    Type: Mailing

  • 11100 EUCLID AVE

    UNIVERSITY HOSPITALS CASE MEDICAL CENTER

    CLEVELAND, OH 441061716

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-09-25

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
I20150925000857IPsychiatryOHTBD

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

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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 44022)

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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: 5092704486View full group profile

Reviews

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Frequently asked questions

How do I look up STEPHANIE POPE (M.D.) by NPI?
Use NPI 1275846669 when you need to reference STEPHANIE POPE (M.D.) in forms, claims, or directories.
Is STEPHANIE POPE (M.D.) active in the national directory?
STEPHANIE POPE (M.D.)'s public NPI profile is in an active state.
Does STEPHANIE POPE (M.D.) list a primary specialty?
If you are matching referrals, note Child & Adolescent Psychiatry Physician for STEPHANIE POPE (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE POPE (M.D.)?
The page summarizes Chagrin Falls, Ohio for STEPHANIE POPE (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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