Individual provider Active NPI

Stephen Gephardt, MD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1154307635
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4992 Issued in NV
Practice address
7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160
Phone
(702) 912-4100
Fax
(702) 912-4101
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4992 NV
Pain Medicine (Anesthesiology) Physician 207LP2900X 46286 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 4992 NV
Pain Medicine Physician 208VP0000X 4992 NV
Interventional Pain Medicine Physician 208VP0014X 4992 NV Primary

Addresses

Primary practice location

7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160

Mailing address

3157 N Rainbow Blvd # 518
Las Vegas, NV 89108-4578
Phone (702) 386-4700

Other practice location 1

7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700

Other identifiers 1

IdentifierTypeStateIssuer
002002813MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20071025000573 NV Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 4587751391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Indiana University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen a Gephardt MD LTDGroup PAC ID 7315373982, 7 clinicians

Practice addresses (Care Compare)

7220 S Cimarron Rd
Suite 270
Las Vegas, NV 89113-2160
Phone (702) 912-4100

Hospital & facility affiliations

  • Connolly Care Home health agency, Las Vegas, NV, CCN 297236
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
85.22
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4992NVMDAnesthesiology Physician
46286AZMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PBS Anesthesia LLC Pain Medicine CurrentSince Sep 1, 2007 Accepting new patients
Stephen a Gephardt MD LTD Pain Medicine CurrentSince May 18, 2021 Accepting new patients
Stephen a Gephardt MD LTD Anesthesiology CurrentSince Jun 8, 2015 Accepting new patients
Spring Valley Medical Center Interventional Pain Medicine Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dodd Hyer, M.D. LTD Anesthesiology Past Accepting new patients
University Medical Center of Southern Nevada Interventional Pain Medicine Past Accepting new patients
Dignity Health Interventional Pain Medicine Past Accepting new patients
Sunset Pain Surgery Center Past Accepting new patients
Desert Springs Hospital Interventional Pain Medicine Past Accepting new patients

Locations

825 N Gibson Rd
Ste 420
Henderson, NV 89011
Phone (702) 912-4100

3157 N Rainbow Blvd
Las Vegas, NV 89108

7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960

7220 S Cimarron Rd
Ste 270
Las Vegas, NV 89113
Phone (702) 623-5564

2635 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 850-3003

2635 Box Canyon Dr
Bldg 4
Las Vegas, NV 89128

Interoperability endpoints

  • Direct secure messaging: sgephardt@ncpc.ssdirect.aprima.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1154307635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD # 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132160",
            "telephone_number": "702-912-4100",
            "fax_number": "702-912-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Peak Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289028",
            "country_code": "US",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEPHARDT",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "4992",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "46286",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "4992",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "4992",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "4992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002813",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.