Individual provider Active NPI

Todd M Stefan, MD

  • Vascular Surgery Physician
  • Lewisburg, PA
National Provider Identifier
1477521391
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD067249L Issued in PA
Practice address
3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394
Phone
(570) 524-5056
Fax
(570) 524-5061
NPI assigned
Mar 8, 2006
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X MD067249L PA
Surgery Physician 208600000X MD-067249L PA
Vascular Surgery Physician 2086S0129X BS4217407 PA
Vascular Surgery Physician 2086S0129X MD067249L PA Primary

Addresses

Primary practice location

3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone (717) 270-3751

Other practice location 2

179 N Reading Rd
Ephrata, PA 17522-1647
Phone (717) 738-0167

Other practice location 3

179 N Reading Rd
Ephrata, PA 17522-1647
Phone (717) 738-0167

Other practice location 4

7095 Westbranch Hwy Ste 1300
Lewisburg, PA 17837-6865
Phone (570) 768-3100

Other practice location 5

30 Monument Rd Ste 1100
York, PA 17403-5024
Phone (717) 851-6454

Other practice location 6

37 Monument Rd Ste 101
York, PA 17403-5023
Phone (717) 851-6454

Other identifiers 1

IdentifierTypeStateIssuer
0017432610001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101230000355 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 2264406347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

179 N Reading Rd
Ephrata, PA 17522-1647
Phone (717) 738-0167

191 Roosevelt Ave
Suite 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446

25 Monument Rd
York, PA 17403-5073

252 S 4TH St
Lebanon, PA 17042-6111

252 S 4TH St 2ND FL
Wellspan Cardiothoracic Surgery
Lebanon, PA 17042-6111
Phone (717) 270-3751

252 S 4TH St FL
2 Wellspan Thoracic Surgery
Lebanon, PA 17042-6111
Phone (717) 812-4095

252 S 4TH Street 2ND Floor
Wellspan Vascular Surgery
Lebanon, PA 17042-6111
Phone (717) 270-3751

3 Hospital Dr
Lewisburg, PA 17837-9362
Phone (570) 524-6974

3 Hospital Dr
Lewisburg, PA 17837-9394

4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751

7095 Westbranch Hwy
Lewisburg, PA 17837-6865

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)19
Removal of tissue48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-067249LPAMDSurgery Physician
MD067249LPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization CurrentSince Jan 1, 2012 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization Surgery Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization CurrentSince Jan 1, 2012 Accepting new patients
Central Susquehanna Surgical Specialists, P.C. Surgery Current Accepting new patients
Jersey Shore Hospital Foundation, Inc Surgery Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

179 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-0167

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

1 Hospital Dr
Ste 308
Lewisburg, PA 17837

135 Jpm Rd
Lewisburg, PA 17837
Phone (570) 326-8080

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 100
Lewisburg, PA 17837
Phone (570) 523-7625

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

7095 Westbranch Hwy
Ste 1300
Lewisburg, PA 17837
Phone (570) 768-3100

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 145
York, PA 17403
Phone (717) 812-2480

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

37 Monument Rd
#101
York, PA 17403
Phone (717) 812-4700

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: tstefan485058@wellspan.direct-ci.com

Organizations & group practices 9

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1477521391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL DR STE 100",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379394",
            "telephone_number": "570-524-5056",
            "fax_number": "570-524-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 S 4th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221647",
            "country_code": "US",
            "telephone_number": "717-738-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221647",
            "country_code": "US",
            "telephone_number": "717-738-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376865",
            "country_code": "US",
            "telephone_number": "570-768-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Monument Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035024",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Monument Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFAN",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "MD067249L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD-067249L",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "BS4217407",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD067249L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017432610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.