STEVEN L STEPHANIDES (MD) – Emergency Medicine Physician, NPI 1063436012
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
824 EMERGENCY MEDICINE in OR
Provider Addresses for STEVEN L STEPHANIDES (MD)
8060 SW Pfaffle St Ste 102
Tigard, OR 972238489
Phone: (037) 148-9875
Type: Location
Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
CANTON, OH 447182545
Phone: (330) 493-4443
Fax: (330) 493-8677
Type: Mailing
Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States
UIHLEIN BLDG, 1ST FLOOR
RANCHO MIRAGE, CA 922703221
Phone: (330) 493-4443
Fax: (330) 493-8677
Type: Location
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: 2023-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050203000663 | I | Emergency Medicine | CA | TBD |
| I20110908001637 | I | Emergency Medicine | AZ | TBD |
| I20130508000553 | I | Emergency Medicine | OR | TBD |
| I20230201001886 | I | Emergency Medicine | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | ID | |
| Physician Assistant | MA | |
| - | AL | |
| - | OR | |
| Clinical Social Worker | OR | |
| - | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR |
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