Medicare Enrolled

Dr. Nicholas Stepanski, DO

Family Medicine · Waterford, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4030 W WALTON BLVD, Waterford, MI 48329
2486740431
In practice since 2017 (9 years)
NPI: 1023547429 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Stepanski from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Stepanski

Dr. Nicholas Stepanski is a family medicine specialist in Waterford, MI, with 9 years of NPI registration. Based on federal Medicare data, Dr. Stepanski performed 1,596 Medicare services across 987 unique beneficiaries.

Between the years covered by Open Payments, Dr. Stepanski received a total of $8,631 from 42 pharmaceutical and/or device companies across 446 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Stepanski is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 9 years in practice ▲ Top 9% volume in MI $8,631 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,596
Medicare services
Top 9% in MI for family medicine
987
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~177 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
401 $5 $5
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
249 $58 $115
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
183 $87 $140
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
171 $3 $5
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
152 $10 $35
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
124 $10 $45
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
87 $132 $175
Vitamin B-12 injection
An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg.
81 $1 $5
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
73 $18 $30
Injection, methylprednisolone acetate, 40 mg 26 $4 $30
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
20 $158 $215
Initial preventive physical examination, new Medicare beneficiary
A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care.
17 $168 $180
ECG screening, interpretation and report only
A routine 12-lead electrocardiogram is interpreted and reported as part of an initial preventive physical examination.
12 $2 $33
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,631
Total received (2018-2024)
Avg $1,233/year across 7 years
Top 4% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
446
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,631 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,481
2023
$1,460
2022
$1,642
2021
$1,666
2020
$664
2019
$775
2018
$943

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$445
Lilly USA, LLC
$209
Novo Nordisk Inc
$169
GlaxoSmithKline, LLC.
$89
E.R. Squibb & Sons, L.L.C.
$73
ABBVIE INC.
$72
PFIZER INC.
$68
IRONWOOD PHARMACEUTICALS, INC
$57
Abbott Laboratories
$55
Boehringer Ingelheim Pharmaceuticals, Inc.
$51
Bayer Healthcare Pharmaceuticals Inc.
$48
Takeda Pharmaceuticals U.S.A., Inc.
$40
Dexcom, Inc.
$25
Pulmonx Corporation
$23
Phadia US Inc.
$23
Exact Sciences Corporation
$17
IBSA Pharma Inc.
$16
Top 3 companies account for 55.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,420
Boehringer Ingelheim Pharmaceuticals, Inc.
$810
Lilly USA, LLC
$751
AbbVie, Inc.
$686
PFIZER INC.
$544
Novo Nordisk Inc
$501
AbbVie Inc.
$332
GlaxoSmithKline, LLC.
$332
Amarin Pharma Inc.
$269
ABBVIE INC.
$260
Regeneron Healthcare Solutions, Inc.
$235
Ironwood Pharmaceuticals, Inc
$229
E.R. Squibb & Sons, L.L.C.
$225
Allergan Inc.
$221
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$219
Nestle HealthCare Nutrition Inc.
$140
Merck Sharp & Dohme Corporation
$112
Amgen Inc.
$112
Abbott Laboratories
$110
Astellas Pharma US Inc
$107
Gilead Sciences, Inc.
$103
Janssen Pharmaceuticals, Inc
$97
Biohaven Pharmaceutical Holding Company Ltd.
$94
Exact Sciences Corporation
$75
Takeda Pharmaceuticals U.S.A., Inc.
$74
Eisai Inc.
$68
Allergan, Inc.
$60
IRONWOOD PHARMACEUTICALS, INC
$57
Novartis Pharmaceuticals Corporation
$55
Adlon Therapeutics L.P.
$55
Bayer Healthcare Pharmaceuticals Inc.
$48
SANOFI-AVENTIS U.S. LLC
$43
Horizon Therapeutics plc
$27
Dexcom, Inc.
$25
Pulmonx Corporation
$23
Phadia US Inc.
$23
Bayer HealthCare Pharmaceuticals Inc.
$20
IBSA Pharma Inc.
$16
Bardy Diagnostics, Inc.
$16
Kowa Pharmaceuticals America, Inc.
$12
Teva Pharmaceuticals USA, Inc.
$12
Pfizer Inc.
$11
Top 3 companies account for 34.5% of all-time payments
Associated products mentioned in payments ›
ADHANSIA XR · AIRSUPRA · ANORO ELLIPTA · AREXVY · Aimovig · BASAGLAR · BELSOMRA · BOTOX · BREZTRI · BREZTRI AEROSPHERE · CHARTIS CATHETER · Carnation Ambulatory Monitor · Cologuard Collection Kit · DUPIXENT · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Humira · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LYRICA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PENNSAID · PREMARIN · QULIPTA · RAYOS · RYBELSUS · Repatha · Rybelsus · SHINGRIX · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · SYNVISC-ONE · Saxenda · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Truvada · UBRELVY · VIBERZI · VIIBRYD · VRAYLAR · Vascepa · Wegovy · XARELTO · XELJANZ · XIFAXAN · ZENPEP
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in MI.

Looking for a family medicine specialist in Waterford?
Compare family medicine physicians in the Waterford area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
1,409
Per 100K population
110.7
County median income
$95,296
Nearest hospital
TRINITY HEALTH OAKLAND HOSPITAL
6.5 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Stepanski is a clinical cardiology specialist, with above-average Medicare volume (top 9% in MI), with low-engagement industry engagement in the top 4% of MI peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Stepanski experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Stepanski performed 401 blood draw (venipuncture) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Stepanski receive payments from pharmaceutical companies?
Yes. Dr. Stepanski received a total of $8,631 from 42 companies across 446 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Stepanski's costs compare to other family medicine physicians in Waterford?
Dr. Stepanski's average Medicare payment per service is $34. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Stepanski) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →