Dr. Steven Charles Tieche , MD
General Practice • Ocala, FL
1920 Sw 20th Pl, Ste 201
Ocala, FL 344717881
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Steven Tieche is listed in NPPES under General Practice.
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NPI assigned on November 24, 2006; this date does not establish years in practice.
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Published CMS data list 207 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 76970 — Ultrasound follow-up study: 68 service units.
- 99213 — Established patient outpatient office visit: 55 service units.
- 36475 — Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance: 45 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,063 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Progesterone (Progesterone, Micronized) — 116 prescription fills, including refills.
- Liothyronine Sodium — 77 prescription fills, including refills.
- Levothyroxine Sodium — 63 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 37 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 75% of clinicians listed under General Practice in Ocala, FL (2024, 36 clinicians with data). Median for this group: 4,408. Middle half: 1,275 to 6,244.
Fewer Part D prescriptions than 65% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 876 in 2017 to 207 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
1920 Sw 20th Pl
Ste 201
Ocala, FL 344717881
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $119,186 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
Paid by Medicare
About $90,120 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
30-day fills
1,645 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$17,630 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $15.42 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Dr. Tieche as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Ocala and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under General Practice in Ocala, FL (2024, 36 clinicians with data). Median for this group: 4,408. Middle half: 1,275 to 6,244.
Fewer Part D prescriptions than 65% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under General Practice in Ocala, FL (2024, 36 clinicians with data). Median for this group: $232,243. Middle half: $28,108 to $417,554.
A lower Part D drug cost than 70% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Tieche are from 2018.
50 active clinicians are listed under General Practice with a practice address in Ocala, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Ocala
20% of these 50 clinicians have the CMS telehealth indicator.
62% of these 50 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 76% from 876 in 2017 to 207 in 2018.
- 2017: 876
- 2018: 207
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Medicare-allowed amount
Medicare-allowed amount decreased 72% from $428,547 in 2017 to $119,186 in 2018.
- 2017: $428,547
- 2018: $119,186
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Paid by Medicare
Paid by Medicare decreased 73% from $338,061 in 2017 to $90,120 in 2018.
- 2017: $338,061
- 2018: $90,120
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 507% from 175 in 2020 to 1,063 in 2024.
- 2020: 175
- 2021: 302
- 2022: 505
- 2023: 681
- 2024: 1,063
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30-day fills
30-day fills increased 600% from 235 in 2020 to 1,645 in 2024.
- 2020: 235
- 2021: 349
- 2022: 651
- 2023: 999
- 2024: 1,645
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Part D drug cost
Part D drug cost increased 87% from $9,439 in 2020 to $17,630 in 2024.
- 2020: $9,439
- 2021: $8,547
- 2022: $15,523
- 2023: $18,766
- 2024: $17,630
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $31.53 in 2019 to $15.42 in 2023.
- 2019: $31.53
- 2023: $15.42
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $15.42.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
DYSPORT | General | $15.42 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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76970
Ultrasound follow-up study
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68 | 37 | $138.11 | $89.70 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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55 | 44 | $133.79 | $72.52 |
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36475
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
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45 | 26 | $3002.46 | $1476.87 |
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93970
Ultrasound study of arm or leg veins with compression and maneuvers
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20 | 20 | $325.00 | $192.47 |
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36482
Chemical destruction of first incompetent vein of arm or leg using imaging guidance
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19 | 12 | $3107.22 | $2041.53 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Progesterone | Progesterone, Micronized | 116 | 6,110 | $3,178.57 | 26 |
| Liothyronine Sodium | Liothyronine Sodium | 77 | 3,395 | $4,119.23 | 21 |
| Levothyroxine Sodium | Levothyroxine Sodium | 63 | 3,833 | $456.83 | 17 |
| Spironolactone | Spironolactone | 63 | 3,240 | $700.98 | 22 |
| Alprazolam | Alprazolam | 55 | 1,661 | $447.31 | 13 |
| Anastrozole | Anastrozole | 55 | 4,025 | $166.90 | 25 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 49 | 284 | $449.00 | — |
| Testosterone Cypionate | Testosterone Cypionate | 47 | 2,240 | $2,064.90 | 16 |
| Trazodone Hcl | Trazodone Hcl | 45 | 1,816 | $189.77 | 14 |
| Ondansetron Odt | Ondansetron | 34 | 423 | $475.43 | 25 |
| Diazepam | Diazepam | 31 | 753 | $296.49 | — |
| Sertraline Hcl | Sertraline Hcl | 30 | 1,620 | $208.29 | — |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 27 | 810 | $922.08 | — |
| Methylprednisolone | Methylprednisolone | 26 | 156 | $170.27 | 24 |
| Hydrochlorothiazide | Hydrochlorothiazide | 26 | 1,350 | $81.15 | — |
| Gabapentin | Gabapentin | 24 | 648 | $168.40 | — |
| Tramadol Hcl | Tramadol Hcl | 23 | 471 | $392.84 | — |
| Lisinopril | Lisinopril | 19 | 1,290 | $138.08 | — |
| Zolpidem Tartrate | Zolpidem Tartrate | 18 | 600 | $108.03 | — |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 18 | 481 | $85.95 | — |
| Azithromycin | Azithromycin | 17 | 85 | $57.58 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 15 | 1,020 | $66.44 | — |
| Atenolol | Atenolol | 14 | 660 | $69.45 | — |
| Ondansetron Hcl | Ondansetron Hcl | 14 | 180 | $152.50 | — |
| Np Thyroid | Thyroid,pork | 14 | 900 | $1,245.36 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207L00000X
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Surgery
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Nurse Practitioner
ARNPBC
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 1920 SW 20TH PL, OCALA, FL 344717881 (Tel: 3522371212)
Registered at 1920 SW 20TH PL, STE 201, OCALA, FL 344717881 (Tel: 3522371212)
Recorded as STEVEN TIECHE, MD
Anesthesiology (license number reported to NPPES: FL ME 48914)
NPI status registered as active in NPPES database
Registered at 1920 SW 20TH PL, STE 201, OCALA, FL 344717881 (Tel: 3522371212)
Registered at 1920 SW 20TH PL, STE 201, OCALA, FL 344717881 (Tel: 3522371212)
Recorded as STEVEN TIECHE, MD
Anesthesiology (license number reported to NPPES: FL ME 48914)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Ocala
- Dr. Yoany Guia, MD
- Dr. Carmelo Dominguez, MD
- Dr. Gerardo Pedroza-Sierra, MD
- Dr. Lynnette Santana, MD
- Dr. Shabriel Vazquez Ocasio, MBBS, MD, CRC
- Dr. Sajid Khan, MD
Mailing Address
1920 Sw 20th Pl
Ocala, FL 344717881
Phone: 3522371212