Active NPI 1134479199 Individual Practitioner Male Practitioner

Dr. Nicholai Stephens , MD

Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholai Stephens, MD is a certified Surgery practicing in Houston, TX. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Stephens delivers high-quality medical care to the local community at 12121 RICHMOND AVE STE 224.

Dr. Stephens is affiliated with Surgical Associates Of Houston, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12121 Richmond Ave Ste 224

Houston, TX 770822422

Telephone 7139359758

Fax 7134676209

Associated Practice Facility / Clinic

🏢 Surgical Associates Of Houston, P.a. Facility NPI 1316913478

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Houston, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -3.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

376 Specialists

Practicing in Houston, TX (2342 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

27.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephens (17 Years) 17 Yrs

Houston Specialty Average (20.3 Years) 20.3 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
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$120.00	$83.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$112.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	12	$120.00	$89.55
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$120.00	$82.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$110.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	13	$120.00	$90.90
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$120.00	$98.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$112.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	27	25	$120.00	$103.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$200.00	$139.36
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$113.67	$94.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$200.00	$141.77
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$120.00	$105.26
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$85.00	$75.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	17	$50.00	$39.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$200.00	$138.70
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$120.00	$102.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$200.00	$137.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
38570 Removal of abdominal cavity lymph nodes using an endoscope	12	12	$1500.00	$41.57

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX P9262

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.

Hospital & Practice Group Affiliations

Surgical Associates Of Houston, P.a.

1140 Business Ctr Dr, Houston, TX 770432743

Phone: 7139359758

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Zhen Fan , MD

Surgery

NPI 1184876179

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 16, 2018

Registered at 12121 RICHMOND AVE STE 224, HOUSTON, TX 770822422 (Tel: 7139359758)

📍

Updated Business Mailing Address April 16, 2018

Registered at 1140 BUSINESS CENTER DR STE 403, HOUSTON, TX 770432743 (Tel: 7139359758)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2018

Surgery (License #P9262 in TX)

✅

NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2012

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859 (Tel: 5162963389)

📍

Updated Business Mailing Address September 17, 2012

Registered at 100 GLEN ST APT 2318, GLEN COVE, NY 115422723

👤

Provider Name / Credentials Updated September 17, 2012

Recorded as NICHOLAI STEPHENS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration September 17, 2012

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: 1134479199

Entity Type:

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

Enumeration Date: September 17, 2012

Last Update: April 16, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1140 Business Center Dr Ste 403

Houston, TX 770432743

Phone: 7139359758

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.