STEPHEN J JOHANS M.D.
NPI 1013273580
Neurological Surgery in O Fallon, IL

Q: What is Stephen Johans's NPI number?

The NPI number for Stephen Johans is 1013273580. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Q: What is Stephen Johans's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Johans was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment

68.57/100

CMS Quality Rating

3 SAINT ELIZABETH BLVD STE 3900, O FALLON, IL 62269(888) 828-8608 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2022, Feb 3, 2022, Dec 1, 2021 and 2 more (5 updates tracked since 2019).

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About Stephen J Johans M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN J JOHANS M.D. (NPI 1013273580) is an individual neurological surgery provider in O Fallon, Illinois, licensed in Illinois (036156623) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013273580

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameSTEPHEN J JOHANSCredential: M.D.

Location Address3 SAINT ELIZABETH BLVD STE 3900O Fallon, IL 62269-1282

Mailing Address12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657 · (314) 806-1770 · Fax (314) 558-9017

Phone(888) 828-8608

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2012

Enumeration DateApril 9, 2012

Last NPPES UpdateJanuary 22, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2024

✔ NPI 1013273580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in IL · 036156623✔ Licensed in MO · 2019024514

Definition

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.

3 SAINT ELIZABETH BLVD STE 3900, O Fallon, IL 62269

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Secondary Practice Locations 2

Location 15301 Veterans Memorial Pkwy Ste 105Saint Peters, MO 63376-3429 · Phone (888) 828-8608

Location 212855 N 40 Dr Ste 125Saint Louis, MO 63141-8663 · Phone (314) 806-1770 · Fax (314) 558-9017

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen J Johans M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012219454

PECOS Enrollment IDI20190815000312, I20210820002725

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stephen Johans reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anderson Medical Group, LLC

12 mi

General Practice

6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
145 clinicians in this Medicare group

NPI 1700807716 (618) 288-5711

Urology Of St. Louis, Inc.

27 mi

Specialist

12855 N 40 DR STE 375
Saint Louis, MO 63141

Reassigned Medicare billing, Illinois and Missouri enrollments
55 clinicians in this Medicare group

NPI 1528017191 (314) 567-6071

Neurosurgery And Neurology LLC

34 mi

Specialist

111 SAINT LUKES CENTER DR STE 20B
Chesterfield, MO 63017

Reassigned Medicare billing, Missouri enrollment
17 clinicians in this Medicare group

NPI 1134291388 (636) 685-7745

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

117 services117 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

105 services92 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services30 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

27 services19 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

26 services11 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

21 services20 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

18 services18 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

17 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

15 services15 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

13 services13 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

13 services13 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Breese, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140145

Location9515 Holy Cross LnBreese, IL 62230 · Clinton County

Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260179

Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

38.95

Promoting Interoperability

Improvement Activities

Cost

62.12

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH JOST FOUKE MD

Neurological Surgery

3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269

St. Clair County (888) 828-8608

UROLOGY OF ST. LOUIS, INC.

Specialist

3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269

St. Clair County (314) 806-1770

MS. MEGAN SAMANTHA KNETZER FNP

Nurse Practitioner (Family)

3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269

St. Clair County (314) 806-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Johans's NPI number?

The NPI number for Stephen Johans is 1013273580. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Stephen Johans located?

Stephen Johans practices at 3 Saint Elizabeth Blvd Ste 3900, O Fallon, IL 62269. The listed phone number is (888) 828-8608.

What is Stephen Johans's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Stephen Johans enrolled in Medicare?

Yes. Stephen Johans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephen Johans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Johans reassigns Medicare benefits to 3 organizations: Anderson Medical Group, LLC (Maryville, IL), Urology Of St. Louis, Inc. (Saint Louis, MO) and Neurosurgery And Neurology LLC (Chesterfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Johans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Johans accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Stephen Johans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Johans affiliated with any hospitals?

According to CMS data, Stephen Johans is affiliated with St Anthonys Memorial Hospital, St Josephs Hospital, Hshs St Elizabeth's Hospital, Missouri Baptist Medical Center and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Johans was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.