Individual provider Active NPI

Phillip Allen Stetler

  • Orthopaedic Surgery Physician
  • Columbia, MD
National Provider Identifier
1740672492
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H89172 Issued in MD
Practice address
10700 Charter Dr Ste 330
Columbia, MD 21044-3695
Phone
(410) 955-6464
NPI assigned
Mar 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X H89172 MD Primary

Addresses

Primary practice location

10700 Charter Dr Ste 330
Columbia, MD 21044-3695

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (419) 251-6530

Other practice location 1

2213 Cherry St
ACC Ortho Clinic
Toledo, OH 43608-2603
Phone (419) 251-6530

Other practice location 2

520 S Van Buren Rd Ste 1
Eden, NC 27288-5079
Phone (336) 627-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pstetler778369@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20200831000698 MD Practitioner - Orthopedic Surgery 6103243548 Reassigns benefits to 1 organization
I20211215001722 NC Practitioner - Orthopedic Surgery 6103243548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

520 S Van Buren Rd
Suite 1
Eden, NC 27288-5079
Phone (336) 627-7500

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Johns Hopkins University CurrentSince Aug 1, 2020 Accepting new patients
Unc Physicians Network LLC CurrentSince Nov 14, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

10700 Charter Dr
Ste 330
Columbia, MD 21044
Phone (410) 855-5821

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

520 S Van Buren Rd
Ste 1
Eden, NC 27288
Phone (336) 627-7500

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Rockingham HospitalEden, NC, CCN 340060 Hospital Corporate Director Apr 1, 2024
Unc Rockingham Rehabilitation & Nursing Care CenterEden, NC, CCN 345249 Skilled nursing facility Corporate Director Apr 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1740672492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "419-251-6530",
            "fax_number": "419-251-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 330",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443695",
            "telephone_number": "410-955-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_2": "ACC Ortho Clinic",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-6530",
            "fax_number": "419-251-6849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S Van Buren Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885079",
            "country_code": "US",
            "telephone_number": "336-627-7500",
            "fax_number": "336-627-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STETLER",
        "first_name": "PHILLIP",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "H89172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstetler778369@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "520 S Van Buren Rd Ste 1",
            "city": "Eden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272885079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.