Individual provider Active NPI

Scott Robert Stevens, M.D.

  • Orthopaedic Surgery Physician
  • Mankato, MN
National Provider Identifier
1396710372
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
41734 Issued in MN
Practice address
1431 Premier Drive
Mankato, MN 56001
Phone
(507) 386-6600
Fax
(507) 625-5971
NPI assigned
Feb 22, 2006
Last updated
Jul 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 41734 MN Primary

Addresses

Primary practice location

1431 Premier Drive
Mankato, MN 56001

Mailing address

1431 Premier Drive
Mankato, MN 56001
Phone (507) 386-6600

Other identifiers 7

IdentifierTypeStateIssuer
42B11STOtherMNBCBS OF MN
410940705H002OtherMNTRICARE/WPS
123637C572OtherMNUCARE MN
0907651OtherMNMEDICA, MANKATO
983181020435OtherMNPREFERRED ONE
HP29328OtherMNHEALTH PARTNERS
284088000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040902000179 MN Practitioner - Orthopedic Surgery 9931174810 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
May accept Medicare assignment
Group practices
River's Edge Hospital and ClinicGroup PAC ID 7214849397, 27 clinicians
United Hospital District IncGroup PAC ID 6204158884, 50 clinicians

Practice addresses (Care Compare)

1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone 5079312200605

1950 Ctr Creek Dr
Fairmont, MN 56031-3428
Phone (507) 238-1287

515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388

PO Box
Suite 160
Blue Earth, MN 56013-0160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41734MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health CurrentSince Jan 1, 2014 Accepting new patients
River's Edge Hospital & Clinic CurrentSince Nov 1, 2017 Accepting new patients
Orthopaedic & Fracture Clinic, P.a. Orthopaedic Surgery CurrentSince Aug 1, 1999 Accepting new patients
United Hospital District Inc. CurrentSince Apr 11, 2016 Accepting new patients

Locations

515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

1431 Premier Dr
Mankato, MN 56001
Phone (507) 386-4277

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

Interoperability endpoints

  • Direct secure messaging: scott.stevens.1@21022.direct.athenahealth.com
  • Direct secure messaging: scottstevens@ofc.allscriptsdirect.net

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1396710372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PREMIER DRIVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-386-6600",
            "fax_number": "507-625-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PREMIER DRIVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-386-6600",
            "fax_number": "507-625-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "41734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "42B11ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/WPS",
            "identifier": "410940705H002",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "123637C572",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA, MANKATO",
            "identifier": "0907651",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "983181020435",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP29328",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284088000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.