Jacob Michael Stephens

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NPI Number Detailed Information

Provider Information:

Name:	Jacob Michael Stephens
Gender:	M
Provider License Number If Given:	24127

NPI Information:

NPI:	1700375136
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/1/2018
Last Update Date:	5/1/2018

Provider Business Mailing Address:

Address:	113 LEGENDS RIDGE DR Lebanon, TN 37090
Phone Number:	6156304457
Fax Number:

Provider Business Practice Location Address:

Address:	140 MACON WAY Hartsville, TN 37074
Phone Number:	6158080400
Fax Number:

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	TN

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About Jacob Michael Stephens

Jacob Michael Stephens ( JACOB MICHAEL STEPHENS ) is Definition Nurse Practitioner Physician in Hartsville, TN. The NPI Number for Jacob Michael Stephens is 1700375136.

The current location address for Jacob Michael Stephens is 140 MACON WAY Hartsville, TN 37074 and the contact number is 6156304457 and fax number is . The mailing address for Jacob Michael Stephens is 113 LEGENDS RIDGE DR Lebanon, TN 37090- 6158080400 (mailing address contact number - 6156304457).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Jacob Michael Stephens ?

Answer: The NPI Number for Jacob Michael Stephens is 1700375136

Where is Jacob Michael Stephens located?

Answer: Jacob Michael Stephens is located at 140 MACON WAY Hartsville, TN 37074.

What is the specialty for Jacob Michael Stephens ?

Answer: The Specialty of Jacob Michael Stephens is Definition Nurse Practitioner Physician.

Are there any online reviews for Jacob Michael Stephens ?

Answer: Not yet!

Are there any other health care providers in Hartsville, TN?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jacob Michael Stephens

Number of HCPCS	20
Number of Medicare Beneficiaries	12
Number of Services	3701
Total Submitted Charge Amount	249877.45
Total Medicare Allowed Amount	56658.78
Total Medicare Payment Amount	46591.14
Total Medicare Standardized Payment Amount	46050.34
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	9
Number of Medicare Beneficiaries With Drug Services	11
Number of Drug Services	3645
Total Drug Submitted Charge Amount	238722.45
Total Drug Medicare Allowed Amount	53687.42
Total Drug Medicare Payment Amount	44213.93
Total Drug Medicare Standardized Payment Amount	43510.57
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	11
Number of Medicare Beneficiaries With Medical	12
Number of Medical Services	56
Total Medical Submitted Charge Amount	11155
Total Medical Medicare Allowed Amount	2971.36
Total Medical Medicare Payment Amount	2377.21
Total Medical Medicare Standardized Payment Amount	2539.77
Average Age of Beneficiaries	69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84	0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries	12
Number of Black or African American Beneficiaries	0
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	0
Number of Beneficiaries With Medicare & Medicaid Entitlement	0
Number of Beneficiaries With Medicare Only Entitlement	12
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	0.8979

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	15
Number of Standardized 30-Day Fills	19
Aggregate Cost Paid for All Claims	167.25
Number of Day's Supply for All Claims	369
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	15
Aggregate Cost Paid for Generic Drugs	167.25
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst	*
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst	*
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	67.8
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	0.8743

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