2026 NPPES data Adult Medicine Physician NPI 1245967322 PA
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ASHLEY STEPANEK, PA

Adult Medicine Physician in ALPHARETTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
19
Medicare Part D claims · Adult Medicine Physician avg: 3K
Industry payments
$68.4
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ASHLEY STEPANEK, PA filed 19 Medicare Part D claims in 2023 as a Adult Medicine Physician in ALPHARETTA, Georgia.

19
Part D claims, 2023
$68.4
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ASHLEY STEPANEK, PA's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

19 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

ASHLEY STEPANEK, PA practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ASHLEY STEPANEK, PA?

Quality data not reported

NPI registry status

Active

Issued 08/08/2022

NPI 1245967322

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

19 99% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Georgia

How Adult Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Adult Medicine Physician share within Georgia

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Adult Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ASHLEY STEPANEK, PA appears in the CMS NPPES registry as a Adult Medicine Physician provider holding PA credentials at 3400 OLD MILTON PKWY STE C270, ALPHARETTA, GA, 30005, with a listed phone of (770) 442-1911. NPI 1245967322 was issued on 08/08/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STEPANEK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 19 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3400 OLD MILTON PKWY STE C270
ALPHARETTA, GA 30005

Provider Details

NPI 1245967322
Specialty Adult Medicine Physician
Credentials PA
Gender Female
NPI Issued 08/08/2022

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ASHLEY STEPANEK, PA. Source: openpaymentsdata.cms.gov.

Total received

$68

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

19
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
39
Total Day Supply
1,091
Generic Drug Cost
$397

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
0.58

Adult Medicine Physician Overview

How ASHLEY STEPANEK, PA fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

ASHLEY STEPANEK, PA's 19 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as STEPANEK.

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ASHLEY STEPANEK, PA's specialty?
ASHLEY STEPANEK, PA specializes in Adult Medicine Physician and practices in ALPHARETTA, Georgia. Credentials: PA.
How much does ASHLEY STEPANEK, PA prescribe under Medicare Part D?
In 2023, ASHLEY STEPANEK, PA wrote 19 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is ASHLEY STEPANEK, PA located?
ASHLEY STEPANEK, PA is located at 3400 OLD MILTON PKWY STE C270, ALPHARETTA, GA, 30005. Phone: (770) 442-1911.
What is ASHLEY STEPANEK, PA's NPI number?
ASHLEY STEPANEK, PA's National Provider Identifier (NPI) is 1245967322, issued on 08/08/2022.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
Does ASHLEY STEPANEK, PA accept Medicare?
ASHLEY STEPANEK, PA appears in CMS Medicare data with 19 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHLEY STEPANEK, PA's credentials?
ASHLEY STEPANEK, PA's NPI is 1245967322 with credentials PA. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology