Active NPI 1366442584 Individual Practitioner Male Practitioner

Dr. Stephen A De Santis , MD

Surgery • Madera, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen De Santis, MD is a certified Surgery practicing in Madera, CA. With approximately 48 years of clinical experience since graduating from University Of California, Geffen School Of Medicine in 1978, Dr. De Santis delivers high-quality medical care to the local community at 1280 E. ALMOND AVENUE.

Dr. De Santis is affiliated with Paul J Wisniewski Do Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1280 E. Almond Avenue

Madera, CA 936375606

Telephone 5596739021

Fax 5596730479

Associated Practice Facility / Clinic

🏢 Madera Pulmonary And Sleep Disorders Center A Medical Corpora Facility NPI 1760415103

Medicare Profile & Education

Medical School

University Of California, Geffen School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Madera, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs -2.8 yrs vs City Avg

City Avg: 50.8 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Madera, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De Santis (48 Years) 48 Yrs

Madera Specialty Average (50.8 Years) 50.8 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	65	$436.32	$121.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$161.00	$77.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	11	$114.00	$90.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$350.00	$130.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	19	$114.00	$95.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$163.00	$116.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$350.00	$138.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	13	$114.00	$78.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$350.00	$141.54
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$130.00	$79.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$80.00	$47.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$114.00	$76.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$80.00	$46.75
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$130.00	$78.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$350.00	$138.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$114.00	$70.97
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$123.41	$73.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	23	$74.84	$43.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$345.00	$130.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$166.00	$104.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$400.00	$194.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$163.00	$105.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	23	$69.00	$45.29
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$114.00	$75.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$328.80	$206.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$166.00	$110.97
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$116.00	$77.27

Medical Specialties & State Licenses

CMS Verified: 2022-02-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G40996A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pin

WG40996A (CA)

Hospital & Practice Group Affiliations

Paul J Wisniewski Do Inc

18523 Corwin Rd, Apple Valley, CA 923072300

Phone: 4073356950

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Bakht Roshan , MD

Internal Medicine - Infectious Disease

NPI 1639201502

Doctor of Medicine (M.D.)

Dr. Khalid Rauf , MD

Internal Medicine - Sleep Medicine

NPI 1700802709

Doctor of Medicine (M.D.)

Kathryn Mittie , MSN, FNP

Nurse Practitioner - Family

NPI 1942331236

Master of Science in Nursing, Family Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location February 25, 2022

Registered at 1280 E. ALMOND AVENUE, MADERA, CA 936375606 (Tel: 5596739021)

📍

Updated Business Mailing Address February 25, 2022

Registered at 1280 E. ALMOND AVENUE, MADERA, CA 936375606 (Tel: 5596739021)

👤

Provider Name / Credentials Updated February 25, 2022

Recorded as STEPHEN DE SANTIS, MD

📍

Updated Business Mailing Address February 07, 2022

Registered at 1280 E, ALMOND AVENUE, AFFILIATED PHYSICIAN PRACTICE INC, MADERA, CA 936375606 (Tel: 5596739021)

✅

NPI Profile Active May 18, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2010

Registered at 26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 926916306 (Tel: 9493641007)

📍

Updated Business Mailing Address May 18, 2010

Registered at 26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 926916306 (Tel: 9493641007)

👤

Provider Name / Credentials Updated May 18, 2010

Recorded as STEPHEN DE SANTIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2010

Surgery (License #G40996A in CA)

🟢

Initial NPI Registration & Enumeration July 29, 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: 1366442584

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2005

Last Update: February 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1280 E. Almond Avenue

Madera, CA 936375606

Phone: 5596739021

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.