Active NPI 1831338342 Individual Practitioner Male Practitioner

Dr. Andrew H Stephen , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Stephen, MD is a certified Surgery practicing in Providence, RI. With approximately 22 years of clinical experience since graduating from Tufts University School Of Medicine in 2004, Dr. Stephen delivers high-quality medical care to the local community at 2 DUDLEY ST.

Dr. Stephen maintains professional affiliations with University Surgical Associates, Inc., Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St
Suite 470

Providence, RI 029053236

Telephone 4012721800

Fax 4018682310

Associated Practice Facility / Clinic

🏢 Northeast Orthotics & Prosthetics, Inc. Facility NPI 1356343651

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -2.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

95 Specialists

Practicing in Providence, RI (160 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephen (22 Years) 22 Yrs

Providence Specialty Average (24.5 Years) 24.5 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	53	$155.52	$48.76
99291 Critical care, first 30-74 minutes	32	12	$688.91	$208.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	23	$248.27	$77.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$170.42	$57.16
99283 Emergency department visit with low level of medical decision making	17	17	$241.24	$69.95
99284 Emergency department visit with moderate level of medical decision making	14	14	$371.00	$118.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	59	$162.00	$50.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	24	$257.00	$79.83
99283 Emergency department visit with low level of medical decision making	32	32	$234.00	$72.26
99291 Critical care, first 30-74 minutes	24	13	$777.33	$214.71
99284 Emergency department visit with moderate level of medical decision making	14	14	$394.00	$121.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	56	$123.00	$39.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	34	$227.00	$72.30
99283 Emergency department visit with low level of medical decision making	32	32	$233.00	$73.74
99291 Critical care, first 30-74 minutes	30	15	$697.00	$223.16
99284 Emergency department visit with moderate level of medical decision making	21	21	$392.00	$124.56
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$321.00	$102.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	55	$123.00	$38.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	36	$228.00	$73.79
99291 Critical care, first 30-74 minutes	42	27	$699.00	$226.28
99283 Emergency department visit with low level of medical decision making	33	33	$231.00	$74.55
99284 Emergency department visit with moderate level of medical decision making	26	26	$393.00	$126.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	32	$224.00	$75.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	29	$323.00	$108.40
99291 Critical care, first 30-74 minutes	46	29	$691.00	$231.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	34	$127.00	$41.02
99284 Emergency department visit with moderate level of medical decision making	33	33	$372.00	$124.25
99283 Emergency department visit with low level of medical decision making	27	27	$202.00	$67.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$125.00	$46.76
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$317.00	$106.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	47	$122.00	$40.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	39	$226.00	$75.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	20	$322.00	$97.41
99291 Critical care, first 30-74 minutes	36	21	$691.00	$213.50
99284 Emergency department visit with moderate level of medical decision making	26	26	$365.00	$121.67
99283 Emergency department visit with low level of medical decision making	24	24	$193.00	$64.15
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$315.00	$105.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$125.00	$47.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	69	$227.00	$75.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	58	$122.00	$40.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	32	$325.00	$107.85
99221 Initial hospital inpatient care per day, typically 30 minutes	59	59	$316.00	$104.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$125.00	$45.69
99238 Hospital discharge day management, 30 minutes or less	23	23	$228.00	$75.79
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$175.00	$75.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	82	41	$322.00	$101.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	49	$122.00	$40.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	32	$223.00	$73.91
99221 Initial hospital inpatient care per day, typically 30 minutes	49	49	$315.00	$103.63
99291 Critical care, first 30-74 minutes	21	16	$694.00	$219.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	12	$90.00	$45.01
99284 Emergency department visit with moderate level of medical decision making	17	17	$367.06	$119.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$425.00	$140.00
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$150.00	$75.18

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD13552

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.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License RI MD13552

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

University Surgical Associates, Inc.

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Eric Benoit , MD

Surgery - Surgical Critical Care

NPI 1073752366

Doctor of Medicine (M.D.)

Dr. Doreen Wiggins , MD

Obstetrics & Gynecology

NPI 1093734204

Doctor of Medicine (M.D.)

Beth Sawyer , PA-C

Physician Assistant - Surgical

NPI 1245380559

Physician Assistant (Certified)

Dr. Shea Gregg , MD

Surgery

NPI 1255535670

Doctor of Medicine (M.D.)

Angela Togba , NP

Nurse Practitioner

NPI 1285147488

Nurse Practitioner

Gerald Dornhecker , RNP

Nurse Practitioner - Family

NPI 1306994538

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2011

Registered at 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 029053236 (Tel: 4012721800)

📍

Updated Business Mailing Address July 07, 2011

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤

Provider Name / Credentials Updated July 07, 2011

Recorded as ANDREW STEPHEN, M.D.

🎓

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

Surgery (License #MD13552 in RI)

🟢

Initial NPI Registration & Enumeration February 08, 2009

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: 1831338342

Entity Type:

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

Enumeration Date: February 08, 2009

Last Update: January 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

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.