Individual provider Active NPI

Roland Mark Stover, DO

  • Orthopaedic Surgery Physician
  • Marysville, OH
National Provider Identifier
1487656203
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
340027465 Issued in OH
Practice address
120 Colemans Xing
Marysville, OH 43040-7115
Phone
(937) 578-4200
Fax
(937) 578-4323
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 340027465 OH Primary

Addresses

Primary practice location

120 Colemans Xing
Marysville, OH 43040-7115

Mailing address

120 Colemans Xing
Marysville, OH 43040-7115
Phone (937) 578-4200

Other identifiers 1

IdentifierTypeStateIssuer
0490928MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040423000712 OH Practitioner - Orthopedic Surgery 2860488897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Osteopathy, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Physician CorporationGroup PAC ID 1557419173, 105 clinicians

Practice addresses (Care Compare)

1958 E US Hwy 36
Urbana, OH 43078-9799
Phone (937) 578-2417

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

Hospital & facility affiliations

  • Memorial Hospital Hospital, Marysville, OH, CCN 360092

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340027465OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Union County CurrentSince Aug 1, 2008 Accepting new patients
Union County Physician Corporation CurrentSince May 1, 2017 Accepting new patients
Union County Physician Corporation CurrentSince May 1, 2017 Accepting new patients
Memorial Hospital of Union County Orthopaedic Surgery CurrentSince Aug 1, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orthopedics and Sports Medicine Incorporated Past Accepting new patients
Marysville Orthopedics Orthopaedic Surgery PastSince Jul 20, 2004 Accepting new patients

Locations

17853 State Route 31
Marysville, OH 43040
Phone (937) 578-4200

17853 State Route 31
Ste A
Marysville, OH 43040

120 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-4200

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

120 Colemans Crossing Blvd
Ste C
Marysville, OH 43040
Phone (937) 578-4200

1958 E US Highway 36
Ste D
Urbana, OH 43078
Phone (937) 578-2626

Interoperability endpoints

  • Direct secure messaging: rstover889328@direct.osumc.edu

Organizations & group practices 7

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 1

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1487656203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COLEMANS XING",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407115",
            "telephone_number": "937-578-4200",
            "fax_number": "937-578-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COLEMANS XING",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407115",
            "telephone_number": "937-578-4200",
            "fax_number": "937-578-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "ROLAND",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "340027465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.