Individual provider Active NPI

Nick Stefanovski, MD

  • Orthopaedic Surgery Physician
  • Erie, PA
National Provider Identifier
1376546358
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD039774E Issued in PA
Practice address
100 Peach St Ste 400
Erie, PA 16507-1423
Phone
(814) 877-9100
Fax
(814) 454-8470
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD039774E PA Primary

Addresses

Primary practice location

100 Peach St Ste 400
Erie, PA 16507-1423

Mailing address

100 Peach St Ste 400
Erie, PA 16507-1423
Phone (814) 877-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nick.stefanovski@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000018 PA Practitioner - Orthopedic Surgery 4880672369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Upmc Home Healthcare Home health agency, Erie, PA, CCN 397157
  • Willcare Chha (Buffalo) Home health agency, Buffalo, NY, CCN 337268
  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Warren General Hospital Hospital, Warren, PA, CCN 390146

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement27
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039774EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Sports Medicine of Erie PC Orthopaedic Surgery Current Accepting new patients
Regional Health Services Inc CurrentSince Jan 29, 1991 Accepting new patients

Locations

100 Peach St
Ste 400
Erie, PA 16507
Phone (814) 454-8287

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

300 State St
Ste 400A
Erie, PA 16507
Phone (814) 454-8287

333 State St
Ste 103
Erie, PA 16507

Interoperability endpoints

  • Direct secure messaging: nstefanovski241028@upmc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1376546358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-877-9100",
            "fax_number": "814-454-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-877-9100",
            "fax_number": "814-454-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOVSKI",
        "first_name": "NICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD039774E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nick.stefanovski@upmcdirect.com",
            "affiliation": "N",
            "address_1": "100 Peach St Ste 400",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.