Jeffrey S Stephens, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J2983 Issued in TX

Practice address

4450 Tubbs Rd
Rockwall, TX 75032-6308

Phone

(972) 722-3290

Fax

(972) 722-3815

NPI assigned

May 6, 2006

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 7

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

Merit-based Incentive Payment System (MIPS)

Final score

96.57 of 100Reported as group

Quality

93.14

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.stephens.p1@direct.lakesidesurgerypa.nextgenshare.com
• Direct secure messaging: jeffrey.stephens.p3@direct.lakesidesurgerypa.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lakeside Surgery PA

  • Surgery Physician
  • Rockwall, TX
  • NPI 1831468800
  Medicare reassignment NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)
• Healthtexas Provider Network

  • Surgery Physician
  • Dallas, TX
  • NPI 1942206024
  NPD (past)
• Lakeside Surgery, P.a.

  • Specialist
  • Rockwall, TX
  • NPI 1851489520
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1326097676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 TUBBS RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326308",
            "telephone_number": "972-722-3290",
            "fax_number": "972-722-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 TUBBS RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326308",
            "telephone_number": "972-722-3290",
            "fax_number": "972-722-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J2983",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1093083560",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "0999351",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCPTAN",
            "identifier": "265403YN0Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN #",
            "identifier": "36-412381",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "J2983",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099935106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01153365",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefani Castro LCSW PLLC
• Lori Anne Stehman, LPC-ASSOCIATE
• Brittany Steigner
• Leeza Stein, DDS
• Stephanie Shisler MD PA
• Mark Thomas Stephens, M.D.
• Victoria Stevens
• Lauren Alicia Stevenson, LPC-ASSOCIATE
• Ebony Steward, COTA
• Cheryl Stewart, M.ED. CCC-SLP

• Specialist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.