Doctor profile · Federal record
Dr. Stephanus Haryadi, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Orwell, OH
- NPI 1174902498
- Accepts Medicare
- MIPS 90.9 / 100 · 2023
- 11 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
315 E Main St
Orwell, OH 440769590
(440) 437-6222
fax (440) 437-1022 - Mailing address
-
8055 Mayfield RD Ste 105
Chesterland, OH 440262447
Credentials & registration
- NPI registered
- May 2015 — 11 yrs on file
- Profile last updated
- February 3, 2021
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Ohio #35.135310
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174902498. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
183
Distinct HCPCS
3
Medicare allowed
$19,190
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 150 | 92 | $102 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 18 | 12 | $131 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 15 | 12 | $105 |
In context: peer comparison
Among 1 peers in Orwell Internal Medicine Physician, average services per provider: 61. This provider delivers 3.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,617
Patients
468
Total drug cost
$22,928
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 256 | 75 | $4,093 |
| Levothyroxine Sodium | Generic | 173 | 43 | $2,346 |
| Amlodipine Besylate | Generic | 147 | 51 | $1,257 |
| Lisinopril | Generic | 136 | 43 | $1,015 |
| Metformin Hcl | Generic | 128 | 31 | $951 |
| Losartan Potassium | Generic | 101 | 29 | $1,253 |
| Gabapentin | Generic | 98 | 23 | $2,187 |
| Pantoprazole Sodium | Generic | 93 | 29 | $1,432 |
| Metoprolol Tartrate | Generic | 83 | 23 | $1,120 |
| Metoprolol Succinate | Generic | 75 | 20 | $1,905 |
Frequently asked questions
What is Dr. Stephanus Haryadi's medical specialty?
Dr. Stephanus Haryadi practices Internal Medicine Physician in Orwell, OH.
Where does Dr. Stephanus Haryadi practice?
Dr. Stephanus Haryadi practices at 315 E Main St, Orwell, OH 440769590. Office phone: 4404376222.
What is Dr. Stephanus Haryadi's NPI?
Dr. Stephanus Haryadi's National Provider Identifier (NPI) is 1174902498, issued by NPPES.
Does Dr. Stephanus Haryadi accept Medicare assignment?
Yes. Dr. Stephanus Haryadi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephanus Haryadi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215); Transitional care management services for problem of at least moderate complexity (HCPCS 99495). Source: CMS Medicare Physician & Other Practitioners file.