NPIMap

Individual provider Active NPI

Steven A Dutcher, DO PHD

  • Neurological Surgery Physician
  • Lake Worth, FL
National Provider Identifier
1972598464
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
OS 8151 Issued in FL
Practice address
4560 Lantana Rd Ste 120
Lake Worth, FL 33463-6998
Phone
(561) 433-4444
Fax
(561) 433-8877
NPI assigned
Sep 12, 2005
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X OS 8151 FL Primary

Addresses

Primary practice location

4560 Lantana Rd Ste 120
Lake Worth, FL 33463-6998

Mailing address

4560 Lantana Rd Ste 120
Lake Worth, FL 33463-6998
Phone (561) 433-4444

Other practice location 1

601 University Blvd Ste 203
Jupiter, FL 33458-2788
Phone (561) 433-4444

Other identifiers 1

IdentifierTypeStateIssuer
012024200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000522 FL Practitioner - Neurosurgery 0345246245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Neurosurgery LLCGroup PAC ID 5890791792, 7 clinicians

Practice addresses (Care Compare)

4560 Lantana Rd
Suite 120
Lake Worth, FL 33463-6998
Phone (561) 433-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion124
Laminectomy or laminotomy (partial removal of spine bones)70
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 8151FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Neurosurgery LLC Neurological Surgery CurrentSince Jul 1, 2006 Accepting new patients
Palm Beach Neurosurgery Current Accepting new patients
Palm Beach Neurosurgery LLC Neurological Surgery Past Accepting new patients

Locations

601 University Blvd
Ste 203
Jupiter, FL 33458
Phone (561) 253-3777

4560 Lantana Rd
Ste 120
Lake Worth, FL 33463
Phone (561) 433-4444

3319 S State Road 7
Ste 313
Wellington, FL 33449
Phone (561) 433-4444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFEJCA

Organizations & group practices 3

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 8

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1972598464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 LANTANA RD STE 120",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636998",
            "telephone_number": "561-433-4444",
            "fax_number": "561-433-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 LANTANA RD STE 120",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636998",
            "telephone_number": "561-433-4444",
            "fax_number": "561-433-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 University Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582788",
            "country_code": "US",
            "telephone_number": "561-433-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTCHER",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "OS 8151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012024200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.