Stephanie Liu, D.O.
NPI 1790104438ActiveIndividual· Pathology, Dermatopathology· Fargo, ND
Pathology, Dermatopathology (D.O.) in Fargo, North Dakota, trained at West Virginia School of Osteopathic Medicine (class of 2014). Medicare paid $569,495 for services to 8,084 patients in 2024.
Overview
| NPI | 1790104438 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 9, 2014 |
| Last updated in NPPES | Oct 25, 2021 |
| Certified by provider | Oct 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Dermatopathology Primary | 207ZD0900X | 16486 | ND |
| Pathology, Dermatopathology | 207ZD0900X | PT16486 | ND |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (CO); Practitioner - Pathology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 8,084 |
|---|---|
| Services billed | 17,729 across 11 procedure codes |
| Paid by Medicare | $569,495 |
Education and affiliations
| Medical school | West Virginia School of Osteopathic Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Pathology |
Medical group
- Leavitt Medical Associates of Florida IncThe Villages, FL · 198 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pathology, Dermatopathology providers in Fargo
- 1346732781
- 1801356308