Individual provider Active NPI

James William Lepak, PA-C

  • Surgical Physician Assistant
  • Stevens Point, WI
National Provider Identifier
1225063068
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
975 Issued in WI
Practice address
500 Vincent St
Stevens Point, WI 54481-1848
Phone
(715) 344-0701
Fax
(715) 344-4494
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 975 WI Primary

Addresses

Primary practice location

500 Vincent St
Stevens Point, WI 54481-1848

Mailing address

500 Vincent St
Stevens Point, WI 54481-1842
Phone (715) 344-0701

Other identifiers 2

IdentifierTypeStateIssuer
42969800MedicaidWI
975OtherWISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000783 WI Practitioner - Physician Assistant 3779535414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3901 Stewart Ave
Wausau, WI 54401-3948
Phone (715) 907-0900

500 Vincent St
Stevens Point, WI 54481-1842
Phone (715) 344-0701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.57 of 100Reported as group
Quality
77.2
Promoting interoperability
59
Improvement activities
40
Cost
88.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
975WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Centers of Wisconsin S C CurrentSince Jun 1, 2016 Accepting new patients
Orthopaedic Centers of Wisconsin S C CurrentSince Jun 1, 2016 Accepting new patients

Locations

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

500 Vincent St
Stevens Point, WI 54481
Phone (715) 341-7920

3901 Stewart Ave
Wausau, WI 54401
Phone (715) 841-0002

Interoperability endpoints

  • Direct secure messaging: james.lepak@spo.directbygreenway.com

Organizations & group practices 3

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 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225063068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-344-0701",
            "fax_number": "715-344-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811848",
            "telephone_number": "715-344-0701",
            "fax_number": "715-344-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPAK",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42969800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "975",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.