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Active NPI 1699814616 Individual Practitioner Male Practitioner

Dr. Stephen Stimson , MD

Specialist • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Stimson, MD is a certified Specialist practicing in Waco, TX. With approximately 22 years of clinical experience since graduating from University Of Texas Medical School At Houston in 2004, Dr. Stimson delivers high-quality medical care to the local community at 601 W HWY 6 STE 105.

Dr. Stimson is affiliated with Providence Health Alliance and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound measurement of bladder capacity after voiding, automated urinalysis test, 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

601 W Hwy 6 Ste 105

Waco, TX 767105592

Telephone 2547416113
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Waco, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -19.8 yrs vs City Avg
City Avg: 41.8 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Waco, TX (2033 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stimson (22 Years) 22 Yrs
Waco Specialty Average (41.8 Years) 41.8 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
51798 Ultrasound measurement of bladder capacity after voiding
641 475 $54.75 $10.23
81003 Automated urinalysis test
617 465 $9.24 $2.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
440 318 $313.23 $119.80
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
204 25 $708.45 $178.78
99213 Established patient office or other outpatient visit, typically 15 minutes
179 166 $212.55 $86.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
177 177 $478.83 $158.00
51702 Simple insertion of temporary bladder tube
94 19 $182.10 $57.82
52000 Diagnostic exam of bladder and urethra using an endoscope
77 66 $477.60 $209.57
51700 Simple bladder irrigation and/or instillation
51 36 $210.87 $63.17
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
35 24 $93.21 $32.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
26 22 $422.28 $162.99
76872 Ultrasound scan of pelvic region through rectum
22 22 $100.05 $29.93
55700 Biopsy of prostate gland
22 22 $721.65 $123.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $313.98 $107.00
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
19 19 $712.50 $302.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
18 18 $598.89 $151.70
52356 Crushing of stone of ureter with insertion of stent using an endoscope
14 14 $1350.01 $394.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope
13 12 $1409.73 $124.96

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 74-2600261

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
207122701 (TX)

Hospital & Practice Group Affiliations

Providence Health Alliance

601 W Hwy 6 109, Waco, TX 767105592

Phone: 2547519836

Providence Health Alliance

342 Richland W Cir, Waco, TX 767127919

Phone: 2545376600

Providence Health Alliance

601 W State Hwy 6 105, Waco, TX 767105592

Phone: 2547416113

Providence Health Alliance

301 Richland W Cir, Waco, TX 767127932

Phone: 2545376200

Providence Health Alliance

601 W State Hwy 6 101, Waco, TX 767105592

Phone: 2547725454

Providence Health Alliance

601 W Hwy 6, Waco, TX 767105592

Phone: 2547767744

Providence Health Alliance

340 Richland W Cir, Waco, TX 767127919

Phone: 2545376050

Providence Health Alliance

6901 Medical Pkwy, Waco, TX 767127910

Phone: 2547514000

Practice Associates & Co-Workers

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

8 Associated Practitioners
Lanee Teer

Physical Therapist

NPI 1639628373
Sarah Ranzinger , PA-C

Physician Assistant - Medical

NPI 1689729493

Physician Assistant (Certified)

Anthony Balchunas , PA

Physician Assistant

NPI 1710090170

Physician Assistant

NPI 1790898146

Doctor of Medicine (M.D.)

NPI 1861505398

Doctor of Medicine (M.D.)

NPI 1902919459

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 January 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2013

Registered at 601 W HWY 6 STE 105, WACO, TX 767105592 (Tel: 2547416113)

📍
Updated Business Mailing Address January 30, 2013

Registered at 27 TIMBER RIDGE TRL, LORENA, TX 766553035 (Tel: 2546525250)

👤
Provider Name / Credentials Updated January 30, 2013

Recorded as STEPHEN STIMSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2013

Specialist (License #74-2600261 in TX)

🟢
Initial NPI Registration & Enumeration February 06, 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: 1699814616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: January 30, 2013
Sole Proprietor: No

Mailing Address

27 Timber Ridge Trl

Lorena, TX 766553035

Phone: 2546525250

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.