Individual provider Active NPI

William Cage Stevenson, M.D.

  • Surgery Physician
  • Washington Court House, OH
National Provider Identifier
1922181528
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-046537 Issued in OH
Practice address
1450 Columbus Ave Ste 103
Washington Court House, OH 43160-3701
Phone
(740) 333-2243
Fax
(740) 333-2248
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-046537 OH Primary

Addresses

Primary practice location

1450 Columbus Ave Ste 103
Washington Court House, OH 43160-3701

Mailing address

1450 Columbus Ave Ste 104
Washington Court House, OH 43160-3701
Phone (740) 333-2236

Other identifiers 1

IdentifierTypeStateIssuer
2021314MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address williamstevenson@fcmhms.allscriptsdirect.net

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
I20050406000001 OH Practitioner - General Surgery 8527053297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

1450 Columbus Ave
Suite 203
Washington Court House, OH 43160-3701
Phone (740) 620-4069

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux26
Removal of tissue1-10
Removal of skin lesions12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-046537OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Surgery CurrentSince May 2, 2021 Accepting new patients
Aurora Health Care Metro, Inc. Past Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

1450 Columbus Ave
Ste 104
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2236

1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

1450 Columbus Ave
Ste 203
Wshngtn Ct Hs, OH 43160
Phone (740) 335-8608

1450 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 335-2654

1450 Columbus Ave
Ste 103
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2243

Interoperability endpoints

  • Direct secure messaging: wstevenson1060750@direct.osumc.edu

Organizations & group practices 2

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 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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1922181528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE STE 104",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-2236",
            "fax_number": "740-333-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE STE 103",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-2243",
            "fax_number": "740-333-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "WILLIAM",
        "middle_name": "CAGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-046537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021314",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "williamstevenson@fcmhms.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1450 Columbus Ave Ste 103",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431603701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.