Individual provider Active NPI

Stephen P Courtney, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
National Provider Identifier
1023013141
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
J1639 Issued in TX
Practice address
2004 Ventura Dr Ste 200
Plano, TX 75093-2003
Phone
(972) 499-5457
Fax
(972) 499-5342
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X J1639 TX Primary

Addresses

Primary practice location

2004 Ventura Dr Ste 200
Plano, TX 75093-2003

Mailing address

2004 Ventura Dr Ste 200
Plano, TX 75093-2003
Phone (972) 499-5457

Other practice location 1

1705 Ohio Dr Ste 300
Plano, TX 75093
Phone (972) 499-5457

Other practice location 2

5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000415 TX Practitioner - Orthopedic Surgery 5698710093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2004 Ventura Dr
Suite 200
Plano, TX 75093-2003
Phone (972) 499-5457

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J1639TXMDOrthopaedic Surgery of the Spine Physician

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6a5c785f-c1ec-46b8-a0ea-6498bdab016c/
  • Direct secure messaging: stephen.courtney.1@17460.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1023013141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 VENTURA DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932003",
            "telephone_number": "972-499-5457",
            "fax_number": "972-499-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 VENTURA DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932003",
            "telephone_number": "972-499-5457",
            "fax_number": "972-499-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Ohio Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "75093",
            "country_code": "US",
            "telephone_number": "972-499-5457",
            "fax_number": "972-449-5342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5228 W Plano Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935005",
            "country_code": "US",
            "telephone_number": "972-250-5700",
            "fax_number": "972-250-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "J1639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.