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Dr. Stephen A. Couture, MD

(Dr. Stephen Couture, M.D.)

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Specializes in: Internal Medicine (Adult Medicine) and Dermatology (Skin Disorders)

Medical University of South Carolina College of Medicine

Professional interests include: eyelid problems, varicose veins, laser hair removal, and more.

5304 Indian Grave Road
Roanoke, VA 24014

(540) 283-2570

Dr. Stephen A. Couture, MD is an internist in Roanoke, VA specializing in internal medicine (adult medicine) and dermatology (skin disorders). He graduated from Medical University of South Carolina College of Medicine. Dr. Stephen A. Couture, MD is affiliated with LewisGale Medical Center and HCA Virginia.

Office Locations

5304 Indian Grave Road
Roanoke, VA 24014

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Some issues Dr. Stephen A. Couture, MD can help you with:

Skin Issues

The skin is the largest organ in the body, protecting and covering the more sensitive inner organs. Considering its size and that it is constantly exposed to the elements, the skin is usually relatively problem-free. However that doesn't mean that issues don't come up from time to time that might need the help of a professional. The most common skin issues that people seek medical help with are cosmetic issues, acne, eczema, dermatitis, psoriasis, and skin growths.

Professional cosmetic skin treatments exist to treat wrinkles, scars, dark spots, remove excess hair, tone and tighten skin, and otherwise improve the appearance of the skin. They may use lasers, light therapy, chemical peels, microdermabrasion, or many other forms of skin treatment.

Acne occurs when hair follicles become clogged with oil and dead skin cells, most commonly on the face or back. The clogged follicles can then become infected and inflamed. Treatments include antibiotics, anti-inflammatories, and retinoid creams.

Eczema is dry, sensitive skin that causes an itchy red rash, often in response to specific triggers. It is common in childhood but can sometimes last into adulthood. The main treatment involves keeping skin well moisturized.

Dermatitis is the medical name for any kind of skin inflammation or rash. Rashes can happen because of an allergy or contact with an irritating substance. They may be red, itchy, or even painful. They are often treated with antihistamines or moisturizing creams containing cortisone.

Psoriasis is patches of thick, red skin that is covered in silvery scales. It is often itchy and sore. Psoriasis is thought to be caused by an immune disorder, and it runs in families. Psoriasis is not contagious. There is no cure, but there are medicated creams available to treat the symptoms.

Skin growths, including warts and moles, are usually not serious. However, some skin growths should be examined by a doctor to make sure they don't cause problems in the future. Warts are harmless, rough, bumpy growths caused by a viral infection. They occur most often on the hands and feet. Because they are caused by a virus, they are contagious. Moles are brown or black spots that are sometimes raised slightly from the surface of the skin. They happen when clumps of pigment cells form in a cluster instead of spread out. Moles are harmless except that they are more vulnerable to cancer than other parts of the skin. Skin cancer is the most common form of cancer in the United States, and its risk increases with sun exposure and fair skin tone.

Skin issues can be embarrassing or irritating, but most are minor and can be treated without serious problems. Some, however, can be a sign of a more significant issue, so it is important to see a doctor for anything out of the ordinary.

Noteworthy Medicare Patient Procedures Performed by Dr. Stephen A. Couture, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

incision and drainage

incision and drainage of skin abscess

removal of skin lesion

In 2012, Dr. Stephen A. Couture, MD performed more incision and drainage, incision and drainage of skin abscess (e.g. boil), and removal of skin lesion (growth or mark) procedures for Medicare patients than 75% of providers in related specialties within Virginia.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2012 were removal of lesion (e.g. growth), skin procedures, lab tests and preventive care.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	56
aspiration	49
blood draw	299
diabetes management	107
diagnostic procedures	160
doctor visit	1958
incision and drainage	56
injections	49
lab tests	1107
minor procedures	70
preventive care	353
removal of lesion (e.g. growth)	1199
skin procedures	1199
skin surgery	56
thoracic (chest) imaging	37
thyroid function tests	49
vaccines	70
wound repair (e.g. stitches)	14
X-rays	37

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2013 were removal of lesion (e.g. growth), skin procedures, lab tests and preventive care.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	34
aspiration	20
blood draw	258
diabetes management	75
diagnostic procedures	161
doctor visit	1914
incision and drainage	34
injections	20
lab tests	1045
minor procedures	45
preventive care	291
removal of lesion (e.g. growth)	1314
skin procedures	1314
skin surgery	34
thyroid function tests	37
vaccines	60
wound repair (e.g. stitches)	11

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	513
Female	519

**Ethnicity**
Non-Hispanic White	971
Black	50
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	449
From 75 to 84	354
85 and over	155
Less than 65	74

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2013

Hypertension	62
High Cholesterol	47
Stroke	6
Ischemic Heart Disease	32
Depression	16
Chronic Kidney Disease	16
Asthma	6
Osteoperosis	6
Atrial Fibrilation	15
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	29
Dementia	8
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2014 were removal of lesion (e.g. growth), skin procedures, lab tests and blood draw.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	22
aspiration	19
blood draw	273
diabetes management	72
diagnostic procedures	141
doctor visit	1892
incision and drainage	22
injections	19
lab tests	1181
minor procedures	22
preventive care	261
removal of lesion (e.g. growth)	1252
skin procedures	1252
skin surgery	22
thyroid function tests	52

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	452
Female	419

**Ethnicity**
Non-Hispanic White	825
Black	33
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	415
From 75 to 84	282
85 and over	127
Less than 65	47

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2014

Hypertension	66
High Cholesterol	51
Stroke	4
Ischemic Heart Disease	29
Depression	15
Chronic Kidney Disease	13
Asthma	4
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	10
Chronic Obstructive Pulmonary Disease	10
Diabetes	26
Dementia	5
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2015 were removal of lesion (e.g. growth), skin procedures, lab tests and diagnostic procedures.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	22
aspiration	19
blood draw	21
diagnostic procedures	139
doctor visit	1791
incision and drainage	22
injections	19
lab tests	144
minor procedures	22
removal of lesion (e.g. growth)	1309
skin procedures	1309
skin surgery	22

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	794
Female	712

**Ethnicity**
Non-Hispanic White	1426
Black	50
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	784
From 75 to 84	494
85 and over	164
Less than 65	64

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2015

Hypertension	68
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	29
Depression	15
Chronic Kidney Disease	18
Asthma	8
Osteoperosis	6
Atrial Fibrilation	12
Heart Failure	9
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Dementia	6
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2016 were removal of lesion (e.g. growth), skin procedures, diagnostic procedures and lab tests.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	26
aspiration	17
diagnostic procedures	124
doctor visit	1859
incision and drainage	26
injections	17
lab tests	111
minor procedures	26
removal of lesion (e.g. growth)	1441
skin procedures	1441
skin surgery	26

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	399
Female	365

**Ethnicity**
Non-Hispanic White	726
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	399
From 75 to 84	267
85 and over	79
Less than 65	19

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2016

Hypertension	70
High Cholesterol	52
Stroke	3
Ischemic Heart Disease	28
Depression	14
Chronic Kidney Disease	22
Asthma	12
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	11
Chronic Obstructive Pulmonary Disease	10
Diabetes	29
Dementia	5
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2017 were removal of lesion (e.g. growth), skin procedures, lab tests and diagnostic procedures.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	23
diagnostic procedures	95
doctor visit	1750
incision and drainage	23
lab tests	114
minor procedures	23
removal of lesion (e.g. growth)	1472
skin procedures	1472
skin surgery	23

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	423
Female	379

**Ethnicity**
Non-Hispanic White	763
Black	21
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	403
From 75 to 84	275
85 and over	97
Less than 65	27

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2017

Hypertension	70
High Cholesterol	41
Stroke	3
Ischemic Heart Disease	29
Depression	14
Chronic Kidney Disease	23
Asthma	5
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	10
Diabetes	29
Dementia	6
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2018 were removal of lesion (e.g. growth), skin procedures, diagnostic procedures and abscess drainage.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	27
diagnostic procedures	111
doctor visit	1842
incision and drainage	27
minor procedures	27
removal of lesion (e.g. growth)	1487
skin procedures	1487
skin surgery	27

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	411
Female	407

**Ethnicity**
Non-Hispanic White	766
Black	31
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	380
From 75 to 84	299
85 and over	95
Less than 65	44

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2018

Hypertension	70
High Cholesterol	59
Stroke	4
Ischemic Heart Disease	30
Depression	15
Chronic Kidney Disease	23
Asthma	5
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Dementia	6
Cancer	11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2019 were removal of lesion (e.g. growth), skin procedures, abscess drainage and minor procedures.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	28
aspiration	13
doctor visit	1988
incision and drainage	28
injections	13
lab tests	14
minor procedures	28
removal of lesion (e.g. growth)	1670
skin procedures	1670
skin surgery	28

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	474
Female	491

**Ethnicity**
Non-Hispanic White	901
Black	30
Hispanic	0
Asian	0
Other	22
Native American	0

**Age**
From 65 to 74	460
From 75 to 84	338
85 and over	108
Less than 65	59

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2019

Hypertension	66
High Cholesterol	58
Stroke	4
Ischemic Heart Disease	30
Depression	17
Chronic Kidney Disease	25
Asthma	6
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	26
Dementia	6
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2020 were removal of lesion (e.g. growth), skin procedures, abscess drainage and minor procedures.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	26
doctor visit	1689
incision and drainage	26
minor procedures	26
removal of lesion (e.g. growth)	1666
skin procedures	1666
skin surgery	26

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	380
Female	358

**Ethnicity**
Non-Hispanic White	694
Black	20
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	357
From 75 to 84	271
85 and over	88
Less than 65	22

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2020

Hypertension	67
High Cholesterol	62
Stroke	2
Ischemic Heart Disease	29
Depression	16
Chronic Kidney Disease	25
Asthma	4
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	10
Chronic Obstructive Pulmonary Disease	9
Diabetes	26
Dementia	6
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2021 were removal of lesion (e.g. growth), skin procedures, abscess drainage and minor procedures.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	34
doctor visit	1659
incision and drainage	34
minor procedures	34
removal of lesion (e.g. growth)	1710
skin procedures	1710
skin surgery	34

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	394
Female	376

**Ethnicity**
Non-Hispanic White	722
Black	0
Hispanic	0
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	353
From 75 to 84	305
85 and over	96
Less than 65	16

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2021

Hypertension	69
High Cholesterol	63
Stroke	4
Ischemic Heart Disease	28
Depression	14
Chronic Kidney Disease	23
Asthma	5
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	8
Diabetes	25
Dementia	6
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA during 2022 were removal of lesion (e.g. growth), skin procedures, abscess drainage and minor procedures.

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

abscess drainage	27
doctor visit	1623
incision and drainage	27
minor procedures	27
removal of lesion (e.g. growth)	1625
skin procedures	1625
skin surgery	27

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	392
Female	370

**Ethnicity**
Non-Hispanic White	724
Black	0
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	359
From 75 to 84	294
85 and over	93
Less than 65	16

Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD in 2022

Hypertension	74
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	22
Depression	14
Chronic Kidney Disease	16
Asthma	6
Osteoperosis	14
Atrial Fibrilation	15
Heart Failure	10
Chronic Obstructive Pulmonary Disease	10
Diabetes	23
Dementia	3
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Stephen A. Couture, MD for Medicare patients.

The highest averages for the top procedures that Dr. Stephen A. Couture, MD treated as an internist in Roanoke, VA were removal of lesion (e.g. growth), skin procedures, lab tests and preventive care.

abscess drainage	29
aspiration	22
blood draw	212
diabetes management	84
diagnostic procedures	133
doctor visit	1815
incision and drainage	29
injections	22
lab tests	530
minor procedures	31
preventive care	301
removal of lesion (e.g. growth)	1467
skin procedures	1467
skin surgery	29
thoracic (chest) imaging	37
thyroid function tests	46
vaccines	65
wound repair (e.g. stitches)	12
X-rays	37

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Stephen A. Couture, MD.

**Gender**
Male	421
Female	399

**Ethnicity**
Black / African American	23
Asian / Pacific Islander	0
Non-Hispanic White	774
Native American / Alaskan Native	0
Hispanic	0
Other	5

**Age**
75 to 84	289
85 and over	100
Less than 65	35
65 to 74	396

Average of Total of Conditions of Medicare patients treated by Dr. Stephen A. Couture, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Stephen A. Couture, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	62
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	26
Depression	13
Chronic Kidney Disease	18
Asthma	5
Osteoporosis	6
Heart Failure	10
Chronic Obstructive Pulmonary Disease	9
Diabetes	24
Atrial Fibrillation	10
Cancer	10
Dementia	5

Education & Training

Dr. Stephen A. Couture, MD graduated from Medical University of South Carolina College of Medicine. He completed residency at Lankenau Medical Center. He has a state license in Virginia.

Medical School: Medical University of South Carolina College of Medicine

Residency: Lankenau Medical Center (1991)

Licensed In: Virginia

Affiliations & Hospitals

Dr. Stephen A. Couture, MD is associated with these hospitals and organizations:

LewisGale Medical Center

HCA Virginia

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General Payments

These charts describe general payments received by Dr. Stephen A. Couture, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Allergan Inc.	$231 $231
Stryker Corporation	$156 Hip Arthroscopy Access & Instrumentation Set $156
Regeneron Healthcare Solutions, Inc.	$91 DUPIXENT $91
Amgen Inc.	$34 Otezla $18	Enbrel $16
Sun Pharmaceutical Industries Inc.	$18 Winlevi $18
Other	$30 Impella $16	Vascular $15

**Types of Payments**
Food and Beverage	$324
Travel and Lodging	$156
Education	$80

Biography

Dr. Stephen Couture is a specialist in dermatology (skin disorders). His clinical interests include facial problems, warts, and allergic reaction. Dr. Couture's professional affiliations include LewisGale Medical Center and HCA Virginia. He is a graduate of Medical University of South Carolina College of Medicine. Dr. Couture trained at Lankenau Medical Center for his residency.