Active NPI 1669672960 Individual Practitioner Male Practitioner

Dr. Stephen V Nalbach , MD

Neurological Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Nalbach, MD is a certified Neurological Surgery practicing in Tyler, TX. With approximately 19 years of clinical experience since graduating from Temple University School Of Medicine in 2007, Dr. Nalbach delivers high-quality medical care to the local community at 700 OLYMPIC PLAZA CIR STE 850.

Dr. Nalbach is affiliated with Tyler Neurosurgical Associates, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 Olympic Plaza Cir Ste 850

Tyler, TX 757011955

Telephone 9035952441

Fax 9035950743

Associated Practice Facility / Clinic

🏢 Tyler Neurosurgical Associates, P.a. Facility NPI 1164419727

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -6.3 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Tyler, TX (703 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nalbach (19 Years) 19 Yrs

Tyler Specialty Average (25.3 Years) 25.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	96	63	$240.00	$86.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	65	$525.00	$165.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	45	$340.00	$122.86
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	25	$736.67	$218.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$344.00	$104.34
22614 Fusion of additional segment of spine	32	17	$1720.00	$346.29
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	15	$1471.10	$162.68
99291 Critical care, first 30-74 minutes	25	15	$428.00	$203.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$495.00	$159.75
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	18	$4645.20	$1336.82
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	19	14	$1181.37	$344.45
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$4121.00	$693.69
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$4800.25	$608.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	71	$240.00	$85.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	51	$340.00	$123.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$495.00	$160.69
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	22	$822.50	$243.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$350.00	$125.84
99221 Initial hospital inpatient care per day, typically 30 minutes	27	25	$260.00	$80.10
22614 Fusion of additional segment of spine	24	14	$1720.00	$369.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	16	$1612.22	$177.97
99291 Critical care, first 30-74 minutes	20	12	$428.00	$206.28
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	19	$5530.00	$1621.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$4517.88	$652.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$144.00	$54.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$344.00	$107.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$4121.00	$721.30
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	13	11	$1290.00	$374.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	70	$240.00	$87.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	48	$340.00	$123.19
99291 Critical care, first 30-74 minutes	56	23	$428.00	$210.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$495.00	$159.91
99221 Initial hospital inpatient care per day, typically 30 minutes	49	49	$260.00	$96.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	19	$822.50	$234.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$144.00	$54.80
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	22	$5128.22	$838.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$344.00	$108.47
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	14	$1638.55	$178.90
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$5269.76	$1523.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$315.00	$98.75
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	13	$1290.00	$358.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$350.00	$129.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	62	$240.00	$88.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	52	$340.00	$123.48
99221 Initial hospital inpatient care per day, typically 30 minutes	56	55	$260.00	$95.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$495.00	$163.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	14	$119.00	$37.20
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	18	$767.67	$226.69
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	16	$1779.00	$199.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$344.00	$109.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$5280.27	$908.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$144.00	$54.77
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$4792.67	$1343.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	85	$210.35	$72.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	65	$357.28	$104.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$342.94	$103.21
99221 Initial hospital inpatient care per day, typically 30 minutes	50	48	$260.00	$99.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$496.89	$160.82
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	33	32	$4862.59	$796.05
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	20	$699.13	$212.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$350.00	$135.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$142.47	$43.99
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	15	$1622.03	$185.51
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	16	16	$4424.00	$1243.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$119.00	$38.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$500.00	$199.62
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$3860.40	$693.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	90	$190.00	$70.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$275.00	$104.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	79	$115.00	$43.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$500.00	$196.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	20	$119.00	$38.36
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	19	$760.81	$234.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$350.00	$133.23
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$5009.53	$1503.53
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$260.00	$98.61
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	14	$1622.03	$175.11
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$4971.69	$822.38
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	14	11	$1142.57	$344.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	75	$190.00	$69.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	78	$115.00	$41.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$276.19	$101.16
99221 Initial hospital inpatient care per day, typically 30 minutes	67	67	$258.99	$98.84
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	27	$665.15	$187.47
63048 Partial removal of spine bone with release of spinal cord and/or nerves	43	26	$1158.42	$126.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$350.00	$133.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	35	34	$3369.97	$554.14
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	32	32	$4147.50	$1179.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	17	$119.00	$38.27
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	22	19	$914.73	$256.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$163.00	$71.07
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$194.50	$72.16
61312 Aspiration of blood accumulation in brain	15	11	$4262.18	$1541.58
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	12	$1566.00	$475.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	99	$184.76	$69.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	90	$110.00	$41.47
99221 Initial hospital inpatient care per day, typically 30 minutes	94	93	$260.00	$98.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$275.63	$102.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$350.00	$132.70
63048 Partial removal of spine bone with release of spinal cord and/or nerves	47	27	$1523.51	$173.98
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	43	25	$589.07	$170.67
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	35	$4040.36	$713.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	28	$119.00	$38.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	22	$163.00	$70.03
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	25	25	$3583.44	$1049.32
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	19	15	$814.74	$217.98
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$187.50	$71.30
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	13	$1566.00	$347.31
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	11	11	$3606.55	$623.01

Medical Specialties & State Licenses

CMS Verified: 2025-03-21

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX P9408

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Hospital & Practice Group Affiliations

Tyler Neurosurgical Associates, P.a.

700 Olympic Plaza Cir, Tyler, TX 757011955

Phone: 9035952441

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Mark Renfro , MD

Neurological Surgery

NPI 1003819913

Doctor of Medicine (M.D.)

Dr. Jon Ledlie , MD

Neurological Surgery

NPI 1033112941

Doctor of Medicine (M.D.)

Kylie Carimi , APRN, FNP-C

Nurse Practitioner

NPI 1174276737

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Amanda Shipp , NP

Nurse Practitioner

NPI 1336757228

Nurse Practitioner

Rachael Phillips , FNP-C

Nurse Practitioner - Family

NPI 1346056645

Family Nurse Practitioner (Certified)

Dr. Paul Detwiler , MD

Neurological Surgery

NPI 1447253356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated March 21, 2025

Recorded as STEPHEN NALBACH, MD

✅

NPI Profile Active September 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2014

Registered at 700 OLYMPIC PLAZA CIR STE 850, TYLER, TX 757011955 (Tel: 9035952441)

📍

Updated Business Mailing Address September 02, 2014

Registered at 700 OLYMPIC PLAZA CIR STE 850, TYLER, TX 757011955 (Tel: 9035952441)

👤

Provider Name / Credentials Updated September 02, 2014

Recorded as STEPHEN NALBACH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2014

Neurological Surgery (License #P9408 in TX)

🟢

Initial NPI Registration & Enumeration July 24, 2007

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: 1669672960

Entity Type:

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

Enumeration Date: July 24, 2007

Last Update: March 21, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 Olympic Plaza Cir Ste 850

Tyler, TX 757011955

Phone: 9035952441

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.