Active NPI 1295739100 Individual Practitioner Male Practitioner

Dr. Paul B Stewart , MD

Surgery • Muncie, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Stewart, MD is a certified Surgery practicing in Muncie, IN. With approximately 33 years of clinical experience since graduating from Indiana University School Of Medicine in 1993, Dr. Stewart delivers high-quality medical care to the local community at 2525 W UNIVERSITY AVE.

Dr. Stewart maintains professional affiliations with Iu Health Medical Group Llc, Indiana University Health Ball Memorial Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

2525 W University Ave
Ste 403

Muncie, IN 473033409

Telephone 7652896381

Fax 7652893883

Associated Practice Facility / Clinic

🏢 Muncie Surgical Associates, Inc Facility NPI 1972687242

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Muncie, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +8.1 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

14 Specialists

Practicing in Muncie, IN (657 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stewart (33 Years) 33 Yrs

Muncie Specialty Average (24.9 Years) 24.9 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	28	$142.00	$74.37
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$127.00	$82.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$267.00	$122.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$289.00	$157.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$381.00	$163.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$88.00	$53.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$183.00	$116.60
19301 Partial removal of breast	13	13	$1339.62	$622.95
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$949.00	$201.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	42	$102.00	$74.10
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$112.00	$83.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$218.00	$151.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$70.00	$50.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$264.00	$162.58
19301 Partial removal of breast	28	24	$994.00	$576.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$150.00	$103.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$276.00	$204.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$165.00	$118.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$201.00	$121.61
38900 Lymph node imaging during surgery	14	14	$257.00	$122.32
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$825.00	$205.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	53	$102.00	$66.34
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$112.00	$76.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$218.00	$153.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$193.00	$152.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$264.00	$186.29
19301 Partial removal of breast	30	28	$994.00	$588.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$276.00	$200.06
38900 Lymph node imaging during surgery	24	24	$257.00	$125.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	13	$70.00	$52.37
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$825.00	$216.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$165.00	$120.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$150.00	$104.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$201.00	$126.27
47562 Removal of gallbladder using an endoscope	11	11	$1439.00	$609.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	49	$102.00	$66.77
99213 Established patient office or other outpatient visit, typically 15 minutes	72	58	$112.00	$85.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	50	$70.00	$51.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$218.00	$150.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$150.00	$105.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$264.00	$189.48
19301 Partial removal of breast	35	30	$994.00	$558.34
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	23	23	$842.65	$204.94
38900 Lymph node imaging during surgery	23	23	$257.00	$122.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$165.00	$121.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$193.00	$171.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$201.00	$114.85
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$101.00	$68.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$276.00	$209.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	233	105	$102.00	$69.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	80	$66.17	$39.51
99213 Established patient office or other outpatient visit, typically 15 minutes	63	56	$100.43	$68.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$264.00	$194.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$150.00	$101.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$218.00	$154.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$201.00	$131.77
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$101.00	$71.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$149.78	$100.02
19301 Partial removal of breast	20	19	$994.00	$605.33
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$825.00	$215.56
47562 Removal of gallbladder using an endoscope	18	18	$1478.97	$622.03
38900 Lymph node imaging during surgery	18	18	$257.00	$129.55
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2893.00	$321.44
49650 Repair of groin hernia using an endoscope	11	11	$932.82	$459.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$32.00	$18.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	145	95	$59.00	$37.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	63	$102.00	$68.90
99213 Established patient office or other outpatient visit, typically 15 minutes	80	73	$85.00	$66.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	52	$264.00	$191.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$150.00	$99.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$218.00	$154.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$201.00	$129.28
19301 Partial removal of breast	29	25	$994.00	$580.04
43999 Stomach procedure	26	15	$199.00	$94.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$130.00	$102.12
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$825.00	$220.62
38900 Lymph node imaging during surgery	19	19	$257.00	$126.25
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$101.00	$71.29
76937 Ultrasonic guidance for blood vessel access	14	14	$24.00	$13.84
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$32.00	$17.79
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$2944.66	$316.09
11042 Removal of skin and tissue, 20.0 sq cm or less	13	13	$224.00	$53.50
49650 Repair of groin hernia using an endoscope	11	11	$858.27	$395.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	59	$102.00	$68.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	77	$59.00	$35.26
99213 Established patient office or other outpatient visit, typically 15 minutes	81	74	$85.00	$66.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$150.00	$99.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$218.00	$152.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$264.00	$187.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$130.00	$98.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$201.00	$129.51
19301 Partial removal of breast	21	20	$994.00	$573.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$2893.00	$305.76
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$845.30	$211.31
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$32.00	$16.30
38900 Lymph node imaging during surgery	18	18	$257.00	$120.96
47562 Removal of gallbladder using an endoscope	17	17	$1460.16	$575.61
76937 Ultrasonic guidance for blood vessel access	17	17	$24.00	$12.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	69	$102.00	$68.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	63	$59.00	$34.23
99213 Established patient office or other outpatient visit, typically 15 minutes	79	71	$84.42	$66.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$150.00	$100.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	53	$264.00	$192.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$218.00	$145.96
43999 Stomach procedure	37	13	$199.00	$95.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$201.00	$129.98
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$2729.29	$321.62
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$41.75	$18.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$130.00	$99.87
76937 Ultrasonic guidance for blood vessel access	19	19	$27.21	$14.69
19301 Partial removal of breast	16	15	$885.63	$571.30
47562 Removal of gallbladder using an endoscope	15	15	$1376.07	$590.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01048698A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200181040 (IN)

Commercial Insurance / Payer ID Rr Medicare

P00980459 (IN)

Hospital & Practice Group Affiliations

Indiana University Health Ball Memorial Physicians Inc

2401 W University Ave, Muncie, IN 473033428

Phone: 7657473111

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Practice Associates & Co-Workers

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

12 Associated Practitioners

Amy Dockrey , FNP-C

Nurse Practitioner - Family

NPI 1013569821

Family Nurse Practitioner (Certified)

Dr. Michael Burrell , MD

Surgery

NPI 1023067816

Doctor of Medicine (M.D.)

Dr. Camilo Santiago , MD

Surgery

NPI 1124089313

Doctor of Medicine (M.D.)

Kasey Ely , FNP

Nurse Practitioner - Family

NPI 1174164503

Family Nurse Practitioner

Lance Ottinger , ANP

Nurse Practitioner - Adult Health

NPI 1306898747

Adult Nurse Practitioner

Dr. John Durbin , MD

Surgery

NPI 1376592436

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 April 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 18, 2013

Registered at 2525 W UNIVERSITY AVE, STE 403, MUNCIE, IN 473033409 (Tel: 7652896381)

📍

Updated Business Mailing Address April 18, 2013

Registered at 2525 W UNIVERSITY AVE STE 403, MUNCIE, IN 473033409 (Tel: 7652896381)

👤

Provider Name / Credentials Updated April 18, 2013

Recorded as PAUL STEWART, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2013

Surgery (License #01048698A in IN)

🟢

Initial NPI Registration & Enumeration June 08, 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: 1295739100

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: April 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2525 W University Ave Ste 403

Muncie, IN 473033409

Phone: 7652896381

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

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