Active NPI 1922036136 Individual Practitioner Female Practitioner

Dr. Stephanie L. Fenlon , DO

Internal Medicine • Lutz, FL

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Fenlon, DO is a registered healthcare professional specializing in Internal Medicine in Lutz, FL. Practice services are available at 4211 VAN DYKE RD STE 101B under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4211 Van Dyke Rd Ste 101b

Lutz, FL 335588005

Telephone 8139604026

Fax 8134438166

Associated Practice Facility / Clinic

🏢 Baycare Medical Group Inc Facility NPI 1689347890

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lutz, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

35 Specialists

Practicing in Lutz, FL (10650 Statewide)

Telehealth Adoption Rate

17.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	58	$294.61	$129.70
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$201.33	$91.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$306.38	$131.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	360	193	$273.00	$109.54
99213 Established patient office or other outpatient visit, typically 15 minutes	186	132	$188.00	$75.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	141	141	$288.00	$116.90
G0008 Administration of influenza virus vaccine	74	72	$45.00	$16.55
90662 Influenza vaccine split virus, preservative free	70	68	$105.00	$60.55
G0009 Administration of pneumococcal vaccine	51	51	$45.00	$16.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$271.00	$109.14
90670 Pneumococcal vaccine for injection into muscle	27	27	$499.67	$218.51
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$231.00	$118.23
99495 Transitional care management services for problem of at least moderate complexity	17	15	$461.00	$186.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$416.00	$168.03
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$43.00	$16.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$113.86	$45.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$426.00	$172.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	187	$272.87	$107.23
99213 Established patient office or other outpatient visit, typically 15 minutes	178	126	$185.95	$73.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$290.82	$114.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$272.82	$106.59
G0008 Administration of influenza virus vaccine	70	70	$45.00	$16.01
G0009 Administration of pneumococcal vaccine	65	65	$45.00	$16.24
90662 Influenza vaccine split virus, preservative free	63	63	$105.00	$54.02
90670 Pneumococcal vaccine for injection into muscle	41	41	$413.00	$209.56
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$43.00	$16.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$231.00	$110.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$415.00	$164.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$416.91	$164.14
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	19	19	$42.87	$16.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$432.00	$169.33
99495 Transitional care management services for problem of at least moderate complexity	14	12	$410.00	$161.75
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	14	11	$133.00	$52.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	228	$217.70	$111.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$232.45	$122.65
99213 Established patient office or other outpatient visit, typically 15 minutes	72	68	$148.60	$74.72
93000 Routine ekg using at least 12 leads including interpretation and report	47	47	$35.00	$17.47
G0008 Administration of influenza virus vaccine	45	45	$47.53	$19.91
90662 Influenza vaccine split virus, preservative free	42	42	$89.17	$51.69
G0009 Administration of pneumococcal vaccine	39	39	$80.69	$19.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	11	$49.86	$20.98
77080 Dxa bone density measurement of hip, pelvis, spine	33	33	$81.00	$43.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$89.81	$45.34
90670 Pneumococcal vaccine for injection into muscle	20	20	$506.75	$196.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$108.68	$74.72
99497 Advance care planning, first 30 minutes	17	17	$172.00	$89.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$343.00	$181.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	242	$215.00	$106.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$232.00	$113.20
G0008 Administration of influenza virus vaccine	92	90	$48.00	$24.61
90662 Influenza vaccine split virus, preservative free	86	84	$86.00	$47.48
77080 Dxa bone density measurement of hip, pelvis, spine	79	79	$81.00	$39.28
99213 Established patient office or other outpatient visit, typically 15 minutes	76	65	$146.00	$72.40
93000 Routine ekg using at least 12 leads including interpretation and report	75	74	$35.00	$16.78
99497 Advance care planning, first 30 minutes	46	46	$172.00	$81.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	42	$290.00	$143.04
G0009 Administration of pneumococcal vaccine	42	42	$93.00	$24.61
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$65.00	$63.70
90670 Pneumococcal vaccine for injection into muscle	18	18	$401.89	$184.38
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	16	12	$108.00	$53.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$343.00	$168.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$218.00	$107.86

Medical Specialties & State Licenses

CMS Verified: 2022-03-30

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL OS7315

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

Medicaid State Provider ID

261670000 (FL)

Practice Associates & Co-Workers

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

11 Associated Practitioners

Gelsy Vazquez Gonzalez , ARNP

Nurse Practitioner - Family

NPI 1114692738

Advanced Registered Nurse Practitioner

Dr. Chrystal Clamp , MD

Internal Medicine

NPI 1265426050

Doctor of Medicine (M.D.)

Dr. Ronald Stephans , MD

Family Medicine

NPI 1306841937

Doctor of Medicine (M.D.)

Dr. Erika Agnew , DO

Family Medicine

NPI 1427445030

Doctor of Osteopathic Medicine (D.O.)

Dr. William Haas , MD

Family Medicine

NPI 1467424408

Doctor of Medicine (M.D.)

Eisel Montero Montes De Oca , APRN-C

Nurse Practitioner - Family

NPI 1477900983

APRNC

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address March 30, 2022

Registered at 4211 VAN DYKE RD STE 101B, LUTZ, FL 335588005 (Tel: 8139604026)

📍

Updated Practice Location October 08, 2018

Registered at 4211 VAN DYKE RD STE 101B, LUTZ, FL 335588005 (Tel: 8139604026)

📍

Updated Business Mailing Address October 08, 2018

Registered at PO BOX 10744, CLEARWATER, FL 337578744 (Tel: 7275320002)

✅

NPI Profile Active February 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2011

Registered at 3131 N MCMULLEN BOOTH RD, CLEARWATER, FL 337612008 (Tel: 7277268871)

📍

Updated Business Mailing Address February 07, 2011

Registered at 3131 N MCMULLEN BOOTH RD, CLEARWATER, FL 337612008 (Tel: 7277268871)

👤

Provider Name / Credentials Updated February 07, 2011

Recorded as STEPHANIE FENLON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2011

Internal Medicine (License #OS7315 in FL)

🟢

Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922036136

Entity Type:

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

Enumeration Date: June 28, 2006

Last Update: March 30, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4211 Van Dyke Rd Ste 101b

Lutz, FL 335588005

Phone: 8139604026

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.