Active NPI 1215930599 Individual Practitioner Male Practitioner

Dr. Stephen F Lex , MD

Plastic Surgery • Flagstaff, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Lex, MD is a certified Plastic Surgery practicing in Flagstaff, AZ. With approximately 44 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1982, Dr. Lex delivers high-quality medical care to the local community at 1020 N SAN FRANCISCO ST.

Dr. Lex is affiliated with Plastic Surgeons Of Northern Arizona P L L C and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1020 N San Francisco St
# 200

Flagstaff, AZ 860013281

Telephone 9287742300

Fax 9282142150

Associated Practice Facility / Clinic

🏢 Northern Arizona Surgicenter, Llc Facility NPI 1871596114

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Flagstaff, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +12.3 yrs vs City Avg

City Avg: 31.7 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Flagstaff, AZ (138 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lex (44 Years) 44 Yrs

Flagstaff Specialty Average (31.7 Years) 31.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$327.00	$161.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$223.00	$107.79
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$144.00	$87.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$327.00	$161.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$216.00	$123.71
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$144.00	$87.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$327.00	$161.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$216.00	$125.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$327.00	$165.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$216.00	$127.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$411.00	$133.19
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$144.00	$84.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$327.00	$162.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$216.00	$107.35
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$144.00	$73.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$327.00	$162.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$216.00	$107.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$411.00	$136.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$327.00	$161.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$411.00	$134.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$216.00	$105.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$327.00	$178.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$216.00	$116.10

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License AZ 17751

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

P282559 (AZ)

Medicaid State Provider ID

282559 (AZ)

Commercial Insurance / Payer ID Blue Cross/blue Shield Az

AZ0264810 (AZ)

Commercial Insurance / Payer ID St Comp Fund Az

18032746 (AZ)

Commercial Insurance / Payer ID Railroad Medicare

240004146 (AZ)

Commercial Insurance / Payer ID Cigna

2004140 (AZ)

Commercial Insurance / Payer ID Employer Id #

8607474152004 (AZ)

Commercial Insurance / Payer ID Az State License #

17751 (AZ)

Hospital & Practice Group Affiliations

Plastic Surgeons Of Northern Arizona P L L C

1020 N San Francisco St, Flagstaff, AZ 860013281

Phone: 9287742300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Andrzej Burkat , MD

Plastic Surgery

NPI 1083111462

Doctor of Medicine (M.D.)

Dr. Adam Boettcher , MD

Surgery

NPI 1134325012

Doctor of Medicine (M.D.)

Dr. Brian Cripe , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1235524919

Doctor of Medicine (M.D.)

Dr. Jack Quigley , MD

Plastic Surgery

NPI 1861495137

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2010

Registered at 1020 N SAN FRANCISCO ST, # 200, FLAGSTAFF, AZ 860013281 (Tel: 9287742300)

📍

Updated Business Mailing Address October 04, 2010

Registered at 1020 N SAN FRANCISCO ST, # 200, FLAGSTAFF, AZ 860013281 (Tel: 9287742300)

👤

Provider Name / Credentials Updated October 04, 2010

Recorded as STEPHEN LEX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2010

Plastic Surgery (License #17751 in AZ)

🟢

Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215930599

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2005

Last Update: October 04, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1020 N San Francisco St, # 200

Flagstaff, AZ 860013281

Phone: 9287742300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.