Active NPI 1659719698 Individual Practitioner Male Practitioner

Dr. Thomas M Stevens , DO

General Practice • Grafton, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Stevens, DO is a certified General Practice practicing in Grafton, WV. With approximately 13 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 2013, Dr. Stevens delivers high-quality medical care to the local community at 1 HOSPITAL PLZ.

Dr. Stevens is affiliated with Grafton City Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, subsequent nursing facility care with moderate level of medical decision making, per day, 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

1 Hospital Plz

Grafton, WV 263541283

Telephone 3042657406

Fax 3042656443

Associated Practice Facility / Clinic

🏢 Grafton City Hospital Inc Facility NPI 1265484893

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Grafton, WV

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Grafton, WV (83 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stevens (13 Years) 13 Yrs

Grafton Specialty Average (13.0 Years) 13.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$230.75	$75.00
99238 Hospital discharge day management, 30 minutes or less	12	11	$263.50	$76.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99238 Hospital discharge day management, 30 minutes or less	20	18	$244.22	$74.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$207.09	$76.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	214	51	$112.41	$85.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	34	$176.43	$68.60
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	27	$160.52	$122.01
99238 Hospital discharge day management, 30 minutes or less	31	28	$222.52	$68.54
99497 Advance care planning, first 30 minutes	28	23	$106.29	$80.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	19	$85.46	$65.19
99315 Nursing facility discharge day management, 30 minutes or less	21	21	$90.28	$68.48
99358 Prolonged patient service without direct patient contact first hour	21	19	$139.23	$105.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$506.62	$190.82
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$173.27	$122.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	213	55	$112.64	$87.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	19	$181.00	$69.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	39	28	$93.24	$66.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	16	$142.65	$87.01
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	17	$160.82	$124.49
99315 Nursing facility discharge day management, 30 minutes or less	20	17	$102.63	$69.98
99238 Hospital discharge day management, 30 minutes or less	17	15	$230.40	$69.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	13	$488.30	$194.29
99497 Advance care planning, first 30 minutes	15	13	$98.13	$75.98
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$185.20	$124.49
99497 Advance care planning, first 30 minutes	13	12	$106.75	$82.27
99358 Prolonged patient service without direct patient contact first hour	12	11	$139.14	$107.99
99358 Prolonged patient service without direct patient contact first hour	12	11	$139.86	$107.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	309	61	$113.92	$89.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	30	$160.31	$70.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	55	29	$113.92	$89.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	26	$86.56	$67.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	30	$456.39	$199.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	19	$232.45	$102.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$140.98	$110.41
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	26	22	$200.62	$50.33
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	23	$162.70	$126.58
99238 Hospital discharge day management, 30 minutes or less	22	21	$204.10	$71.17
99358 Prolonged patient service without direct patient contact first hour	18	17	$141.15	$109.95
99239 Hospital discharge day management, more than 30 minutes	16	14	$234.31	$104.06
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	16	11	$149.96	$38.12
99497 Advance care planning, first 30 minutes	15	15	$107.20	$84.26
99315 Nursing facility discharge day management, 30 minutes or less	14	14	$92.26	$72.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	12	12	$86.56	$68.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	298	63	$116.24	$88.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	35	$157.55	$69.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$443.90	$192.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$143.80	$109.92
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	24	$166.39	$127.33
99358 Prolonged patient service without direct patient contact first hour	22	18	$143.63	$109.93
99238 Hospital discharge day management, 30 minutes or less	21	20	$197.80	$70.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	14	$87.31	$66.86
99239 Hospital discharge day management, more than 30 minutes	17	17	$230.00	$103.28
99497 Advance care planning, first 30 minutes	16	14	$108.47	$83.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$213.90	$163.49
99315 Nursing facility discharge day management, 30 minutes or less	15	15	$93.54	$71.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	12	$26.99	$8.31
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	12	$166.39	$127.33
99315 Nursing facility discharge day management, 30 minutes or less	11	11	$93.54	$71.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	271	63	$115.70	$87.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	35	$157.55	$68.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$443.90	$191.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	25	$87.70	$66.02
99497 Advance care planning, first 30 minutes	30	29	$107.95	$80.67
99239 Hospital discharge day management, more than 30 minutes	27	24	$230.00	$100.29
99306 Initial nursing facility visit, typically 45 minutes per day	26	25	$210.38	$160.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$144.85	$107.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	16	$115.53	$87.85
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	18	15	$193.20	$48.52
99238 Hospital discharge day management, 30 minutes or less	17	17	$197.80	$68.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$165.92	$126.26
99315 Nursing facility discharge day management, 30 minutes or less	11	11	$92.83	$69.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	164	60	$115.00	$87.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	37	$157.55	$67.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	37	37	$212.00	$159.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	29	$443.90	$190.60
99239 Hospital discharge day management, more than 30 minutes	26	25	$230.00	$99.98
99238 Hospital discharge day management, 30 minutes or less	18	16	$197.80	$67.27
99306 Initial nursing facility visit, typically 45 minutes per day	14	12	$212.00	$160.38
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	12	11	$193.20	$48.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$25.30	$7.36
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	11	11	$87.00	$65.84

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WV 2983

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3810029816 (WV)

Hospital & Practice Group Affiliations

Grafton City Hospital Inc

1 Hospital Plz, Grafton, WV 263541283

Phone: 3042657406

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Thomas Wilshire , DO

Family Medicine

NPI 1033167630

Doctor of Osteopathic Medicine (D.O.)

Nanci Morgan , MS PAC

Physician Assistant

NPI 1326146796

MSPAC

Heather Weaver

Nurse Practitioner - Family

NPI 1396128047

Dr. Paul Nielsen , DO

Emergency Medicine

NPI 1457313025

Doctor of Osteopathic Medicine (D.O.)

Sean Griffith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1558783282

Certified Registered Nurse Anesthetist

Dr. Mark Witkowski , MD

Family Medicine

NPI 1659366052

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 August 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2016

Registered at 1 HOSPITAL PLZ, GRAFTON, WV 263541283 (Tel: 3042657406)

📍

Updated Business Mailing Address August 29, 2016

Registered at 1 HOSPITAL PLZ, GRAFTON, WV 263541283 (Tel: 3042657406)

👤

Provider Name / Credentials Updated August 29, 2016

Recorded as THOMAS STEVENS, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2016

General Practice (License #2983 in WV)

🟢

Initial NPI Registration & Enumeration June 12, 2013

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: 1659719698

Entity Type:

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

Enumeration Date: June 12, 2013

Last Update: August 29, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Hospital Plz

Grafton, WV 263541283

Phone: 3042657406

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.