PHILLIP JOHN STEPHAN M.D.
NPI 1053387399
Plastic Surgery in Wichita Falls, TX

Q: What is Phillip Stephan's NPI number?

The NPI number for Phillip Stephan is 1053387399. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Phillip Stephan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Stephan was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 February 27, 2006PECOS EnrolledAccepts Medicare Assignment

2200 KELL BLVD, WICHITA FALLS, TX 76309(940) 264-2600(940) 264-2601 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip John Stephan M.d. NPPES

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

PHILLIP JOHN STEPHAN M.D. (NPI 1053387399) is an individual plastic surgery provider in Wichita Falls, Texas, licensed in Texas (L2679) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1998).

NPPES Registry Identity

NPI1053387399

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NamePHILLIP JOHN STEPHANCredential: M.D.

Location Address2200 KELL BLVDWichita Falls, TX 76309-4401

Mailing AddressPo Box 1011Wichita Falls, TX 76307-1011 · (214) 522-0210 · Fax (214) 522-0474

Phone(940) 264-2600

Fax(940) 264-2601

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1998

Enumeration DateFebruary 27, 2006

Last NPPES UpdateMarch 6, 2014

✔ NPI 1053387399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in TX · L2679

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License L2679 (TX)

2200 KELL BLVD, Wichita Falls, TX 76309

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Other Identifiers 1

Medicare UPINH88385TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip John Stephan 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 ID7315099074

PECOS Enrollment IDI20090710000425

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76309 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 9

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

LAURA KAY MEREDITH

Specialist/Technologist, Other (Surgical Assistant)