Active NPI 1538142393 Individual Practitioner Male Practitioner

Dr. Stephen B Erban , MD

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Erban, MD is a certified Internal Medicine practicing in Worcester, MA. With approximately 42 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1984, Dr. Erban delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Erban is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

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, annual wellness visit; includes a personalized prevention plan of service (pps), initial visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Primary Care

Worcester, MA 016550002

Telephone 5083342731

Fax 7744424672

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +22.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Erban (42 Years) 42 Yrs

Worcester Specialty Average (19.4 Years) 19.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

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	69	63	$359.00	$80.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$389.00	$44.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$482.00	$112.20
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$244.00	$57.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$572.00	$63.58
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	11	11	$214.00	$52.36

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	109	75	$354.27	$80.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	65	65	$568.62	$44.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$383.34	$52.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	39	$472.46	$98.18
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$240.57	$64.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$538.36	$123.74

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	152	98	$316.00	$83.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	122	94	$429.00	$118.32

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	172	108	$314.85	$82.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	148	108	$435.10	$116.24
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	15	12	$214.00	$56.24
20610 Aspiration and/or injection of fluid from large joint	15	14	$352.00	$50.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	171	126	$420.00	$115.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	93	$296.00	$81.54
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	21	19	$214.00	$56.32
20610 Aspiration and/or injection of fluid from large joint	18	16	$348.33	$50.28

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	178	110	$297.91	$80.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	157	128	$417.45	$113.82
20610 Aspiration and/or injection of fluid from large joint	24	18	$343.75	$48.97
99496 Transitional care management services for problem of high complexity	15	15	$847.00	$163.62

Medical Specialties & State Licenses

CMS Verified: 2021-03-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 59846

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

3036731 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Adepeju Champion , MD

Internal Medicine

NPI 1003090499

Doctor of Medicine (M.D.)

Dr. Julia Andrieni , MD

Internal Medicine

NPI 1003869926

Doctor of Medicine (M.D.)

Dr. Farah Mullah , DO

Family Medicine

NPI 1013935329

Doctor of Osteopathic Medicine (D.O.)

Ashley Cahill , FNP-C

Nurse Practitioner

NPI 1043010606

Family Nurse Practitioner (Certified)

Victor Acosta-Rivera

Internal Medicine

NPI 1043876634

Dr. Tracey Mohr , PsyD

Psychologist - Clinical

NPI 1053564955

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2011

Registered at 55 LAKE AVE N, DEPARTMENT OF PRIMARY CARE, WORCESTER, MA 016550002 (Tel: 5083342731)

📍

Updated Business Mailing Address January 21, 2011

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated January 21, 2011

Recorded as STEPHEN ERBAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2011

Internal Medicine (License #59846 in MA)

🟢

Initial NPI Registration & Enumeration November 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538142393

Entity Type:

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

Enumeration Date: November 25, 2005

Last Update: March 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.