Gerasimos S Stavens, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

38382 Issued in KY

Practice address

100 Mallard Creek Rd
Suite 150
Louisville, KY 40207-4194

Phone

(502) 589-7907

Fax

(502) 589-1319

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology

Education

University of Kentucky College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069
• Spring View Hospital Hospital, Lebanon, KY, CCN 180024
• Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
• Harrison County Hospital Hospital, Corydon, IN, CCN 151331
• Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334

Merit-based Incentive Payment System (MIPS)

Final score

92.67 of 100Reported as group

Quality

81.47

Promoting interoperability

100

Improvement activities

40

Cost

81.83

Merit-based Incentive Payment System (MIPS)

Final score

81.11 of 100Reported as group

Quality

63.34

Promoting interoperability

100

Improvement activities

40

Cost

73.68

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clgstavens@yourcarecommunity.org

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.

• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762
  Medicare reassignment NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994

  IN

  Medicare reassignment NPD
• Pikeville Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
  • NPI 1528195864
  Medicare reassignment NPD
• Community Medical Associates, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1386904647
  NPD
• Community Medical Associates, Inc.

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
  • NPI 1437382074

  Cardiovascular Disease

  NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD
• Pikeville Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Cheyenne, WY
  • NPI 1891599502
  NPD
• Community Medical Associates, Inc.

  • Neurological Surgery Physician
  • Louisville, KY
  • NPI 1922288760
  NPD (past)
• Ascension Via Christi Hospitals Wichita Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1831185065
  NPD (past)
• Ascension Via Christi Hospitals Wichita Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  NPD (past)
• BT Heart and Vascular Center, PLLC

  • Cardiovascular Disease Physician
  • Mount Airy, NC
  • NPI 1043294200
  NPD (past)
• Norton Clark Physician Practices, LLC

  • Urgent Care Clinic/Center
  • Sellersburg, IN
  • NPI 1063896637
  NPD (past)

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

• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1043348808
  Care Compare affiliation
• Norton Hospitals Inc

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1073568879

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1124314158

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1154329696

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1174819106

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1447388335
  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1659669414

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1700105699

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1255335873

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1699514463
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1831195908
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1891799227
  Care Compare affiliation

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1255464236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD",
            "address_2": "SUITE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074194",
            "telephone_number": "502-589-7907",
            "fax_number": "502-589-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD",
            "address_2": "SUITE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074194",
            "telephone_number": "502-589-7907",
            "fax_number": "502-589-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVENS",
        "first_name": "GERASIMOS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "38382",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "38382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060052921",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198560A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201275370",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000909758",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100326390",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01433982",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gstavens79319@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Stauble, MS, RD, LD
• Joshua Stauffer
• Lauren Eileen Stauffer
• Erin Stautberg, MS, CCC-SLP
• Christodulos Stefanatos Stavens, M.D.
• Kaniktra Steadmon, BSW, LSW
• Jillian Jean-Anne Stearman, M.D.
• Kellie Stearman
• Brittany Stearns, PTA
• Hannah Stearns

• Cardiovascular Disease Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.