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Active NPI 1386642478 Individual Practitioner Male Practitioner

Dr. Robert Lee Stephenson , MD

Internal Medicine • Encinitas, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Stephenson, MD is a certified Internal Medicine practicing in Encinitas, CA. With approximately 46 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1980, Dr. Stephenson delivers high-quality medical care to the local community at 320 SANTA FE DR.

Dr. Stephenson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 Santa Fe Dr
Suite 303

Encinitas, CA 920245138

Telephone 7609436730
Fax 7609436733
Associated Practice Facility / Clinic
🏢 Scott Mercer, Md, Inc Facility NPI 1942201785

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Encinitas, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs +23.2 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
64 Specialists

Practicing in Encinitas, CA (18502 Statewide)

Telehealth Adoption Rate
32.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephenson (46 Years) 46 Yrs
Encinitas Specialty Average (22.8 Years) 22.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
942 430 $180.00 $97.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
574 321 $195.00 $136.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
375 61 $50.00 $0.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
360 360 $249.89 $138.56
17003 Destruction of precancer skin growth, 2-14 growths
135 17 $19.56 $7.29
G0008 Administration of influenza virus vaccine
127 124 $55.00 $34.56
90662 Influenza vaccine split virus, preservative free
126 123 $101.75 $81.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
102 65 $98.00 $57.98
93000 Routine ekg using at least 12 leads including interpretation and report
97 88 $125.00 $15.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
82 17 $34.00 $15.64
99496 Transitional care management services for problem of high complexity
71 59 $400.00 $296.47
20610 Aspiration and/or injection of fluid from large joint
69 44 $206.09 $70.16
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
52 52 $400.00 $293.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
42 42 $250.00 $177.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
40 40 $248.97 $175.12
94664 Evaluation of use of breathing device
32 29 $30.00 $20.62
17000 Destruction of skin growth
26 19 $139.42 $68.52
69210 Removal of impacted ear wax
25 19 $186.20 $49.12
99497 Advance care planning, first 30 minutes
24 24 $150.00 $85.99
99495 Transitional care management services for problem of at least moderate complexity
22 21 $350.00 $223.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $225.00 $118.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
20 14 $62.00 $45.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 17 $248.89 $191.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
17 17 $211.41 $175.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
15 15 $77.33 $61.61
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
12 12 $326.67 $196.72
81002 Urinalysis, manual test
12 11 $20.00 $3.41

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G65902

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
G65902 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anne Burns , NP

Nurse Practitioner

NPI 1033134119

Nurse Practitioner

John Cowan , PA

Physician Assistant

NPI 1083706089

Physician Assistant

NPI 1083773246

Doctor of Medicine (M.D.)

Dr. Roy Avalos , MD

Internal Medicine - Cardiovascular Disease

NPI 1154399632

Doctor of Medicine (M.D.)

Dr. Sunil Rayan , MD

Surgery - Vascular Surgery

NPI 1174606016

Doctor of Medicine (M.D.)

NPI 1215905831

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2011

Registered at 320 SANTA FE DR, SUITE 303, ENCINITAS, CA 920245138 (Tel: 7609436730)

📍
Updated Business Mailing Address November 01, 2011

Registered at 320 SANTA FE DR, SUITE 303, ENCINITAS, CA 920245138 (Tel: 7609436730)

👤
Provider Name / Credentials Updated November 01, 2011

Recorded as ROBERT STEPHENSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2011

Internal Medicine (License #G65902 in CA)

🟢
Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386642478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: November 01, 2011
Sole Proprietor: Yes

Mailing Address

320 Santa Fe Dr, Suite 303

Encinitas, CA 920245138

Phone: 7609436730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.