Individual provider Active NPI

George Cajetan Stepanic Jr., DO

  • Orthopaedic Surgery Physician
  • Clyde, OH
National Provider Identifier
1881687192
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34006552 Issued in OH
Practice address
112 Independence Way Ste 150
Clyde, OH 43410-9812
Phone
(419) 547-2810
Fax
(419) 547-1301
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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 34006552 OH Primary

Addresses

Primary practice location

112 Independence Way Ste 150
Clyde, OH 43410-9812

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Other identifiers 3

IdentifierTypeStateIssuer
0309526MedicaidOH
000000340454OtherOHBC/BS
396665572005OtherOHANTHEM

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
I20040121001092 OH Practitioner - Orthopedic Surgery 9739081795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

1351 E McPherson Hwy
Suite 150
Clyde, OH 43410-9765
Phone (419) 547-2810

Hospital & facility affiliations

  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement27
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6552OHMDOptometrist
34006552OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Mar 14, 2016 Accepting new patients
Northern Ohio Medical Specialists LLC Orthopaedic Surgery CurrentSince Mar 14, 2016 Accepting new patients
University of Toledo Physicians LLC Orthopaedic Surgery CurrentSince Oct 25, 2001 Accepting new patients
Erie Shores Surgery Center LLC CurrentSince Oct 30, 2025 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1351 E McPherson Hwy
#150
Clyde, OH 43410
Phone (419) 547-2810

112 Independence Way
Ste 150
Clyde, OH 43410
Phone (419) 547-2810

L4189
Columbus, OH 43260

629 Bartson Rd
Fremont, OH 43420
Phone (419) 355-9800

611 Fulton St
Ste F
Port Clinton, OH 43452
Phone (419) 732-6776

2500 W Strub Rd
Ste 110
Sandusky, OH 44870
Phone (419) 502-3526

2800 Hayes Ave
Bldg G
Sandusky, OH 44870
Phone (419) 609-7506

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

Interoperability endpoints

  • Direct secure messaging: gstepanic20794@nomshealthcare.direct-ci.com

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 7

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1881687192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 INDEPENDENCE WAY STE 150",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434109812",
            "telephone_number": "419-547-2810",
            "fax_number": "419-547-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANIC",
        "first_name": "GEORGE",
        "middle_name": "CAJETAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34006552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309526",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000340454",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "396665572005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, OH

Sources for this page

Verify at the official NPI Registry.