Active NPI 1326097676 Individual Practitioner Male Practitioner

Dr. Jeffrey S Stephens , MD

Specialist • Rockwall, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Stephens, MD is a certified Specialist practicing in Rockwall, TX. With approximately 35 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1991, Dr. Stephens delivers high-quality medical care to the local community at 4450 TUBBS RD.

Dr. Stephens is affiliated with Lakeside Surgery Pa 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, new 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

4450 Tubbs Rd

Rockwall, TX 750326308

Telephone 9727223290

Fax 9727223815

Associated Practice Facility / Clinic

🏢 Colleen I. Kennedy, Md, Pa Facility NPI 1033448295

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Rockwall, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +1.7 yrs vs City Avg

City Avg: 33.3 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Rockwall, TX (2033 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephens (35 Years) 35 Yrs

Rockwall Specialty Average (33.3 Years) 33.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	41	$200.00	$75.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	48	$300.00	$122.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$350.00	$159.50
47562 Removal of gallbladder using an endoscope	23	23	$3600.00	$628.84
49650 Repair of groin hernia using an endoscope	21	21	$6904.76	$495.89
99284 Emergency department visit with moderate level of medical decision making	16	16	$400.00	$115.96

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	31	$200.00	$77.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$225.00	$109.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$300.00	$124.65
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$150.00	$88.01
47562 Removal of gallbladder using an endoscope	15	15	$3600.00	$634.53

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	68	35	$200.00	$67.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$225.00	$109.27
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$150.00	$88.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$300.00	$125.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$225.00	$107.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	19	$200.00	$64.18
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$150.00	$89.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	21	$400.00	$194.30
47562 Removal of gallbladder using an endoscope	17	17	$3400.00	$595.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$300.00	$126.90
49650 Repair of groin hernia using an endoscope	11	11	$7272.73	$417.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$225.00	$103.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	14	$200.00	$71.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	20	$300.00	$107.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$397.50	$200.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$350.00	$144.03
47562 Removal of gallbladder using an endoscope	12	12	$3050.00	$552.91
49650 Repair of groin hernia using an endoscope	11	11	$6818.18	$436.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$225.00	$101.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	26	$200.00	$71.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	26	$350.00	$141.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$400.00	$198.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$300.00	$105.42
47562 Removal of gallbladder using an endoscope	13	13	$3384.62	$595.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$225.00	$98.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	25	$300.00	$100.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	15	$200.00	$68.32
49650 Repair of groin hernia using an endoscope	18	18	$7361.11	$467.56
47562 Removal of gallbladder using an endoscope	18	18	$3600.00	$597.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$350.00	$135.14
49568 Placement of mesh to repair incisional or abdominal hernia	15	15	$1050.00	$252.97
49560 Repair of incisional or abdominal hernia	14	14	$3000.00	$669.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$400.00	$190.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$225.00	$97.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	21	$200.00	$66.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	32	$300.00	$98.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$397.73	$180.33
49505 Repair of groin hernia (5 years or older)	14	14	$2300.00	$465.81
47562 Removal of gallbladder using an endoscope	13	13	$3600.00	$611.50
49568 Placement of mesh to repair incisional or abdominal hernia	13	12	$1050.00	$250.12
49560 Repair of incisional or abdominal hernia	12	11	$3000.00	$628.51

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX J2983

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX J2983

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

099935106 (TX)

Commercial Insurance / Payer ID Amerigroup

0999351 (TX)

Commercial Insurance / Payer ID Mcptan

265403YN0Q (TX)

Commercial Insurance / Payer ID Grp Npi

1093083560 (TX)

Commercial Insurance / Payer ID Texas License

J2983 (TX)

Commercial Insurance / Payer ID Rr Medicare

P01153365 (TX)

Commercial Insurance / Payer ID Tin #

36-412381 (TX)

Hospital & Practice Group Affiliations

Lakeside Surgery Pa

4450 Tubbs Rd, Rockwall, TX 750326308

Phone: 9727223290

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Alexander Reeb , DO

Surgery

NPI 1407435811

Doctor of Osteopathic Medicine (D.O.)

Dr. Katherine Makohon , MD

Surgery

NPI 1952393415

Doctor of Medicine (M.D.)

Dr. Caraleigh Buxie , MD

Surgery

NPI 1952577546

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 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2015

Registered at 4450 TUBBS RD, ROCKWALL, TX 750326308 (Tel: 9727223290)

📍

Updated Business Mailing Address October 30, 2015

Registered at 4450 TUBBS RD, ROCKWALL, TX 750326308 (Tel: 9727223290)

👤

Provider Name / Credentials Updated October 30, 2015

Recorded as JEFFREY STEPHENS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

Specialist (License #J2983 in TX)

🟢

Initial NPI Registration & Enumeration May 06, 2006

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: 1326097676

Entity Type:

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

Enumeration Date: May 06, 2006

Last Update: October 30, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4450 Tubbs Rd

Rockwall, TX 750326308

Phone: 9727223290

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.