DR. JAMES TREVOR STEFANSKI M.D.
NPI 1093135907
Orthopaedic Surgery in Cincinnati, OH

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
4700 E GALBRAITH RD STE 300A, CINCINNATI, OH 45236(513) 347-9999(513) 792-3239 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Dec 30, 2025, Feb 20, 2025 and 6 more (9 updates tracked since 2019).

About Dr. James Trevor Stefanski M.d. NPPES

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

DR. JAMES TREVOR STEFANSKI M.D. (NPI 1093135907) is an individual orthopaedic surgery provider in Cincinnati, Ohio, licensed in Ohio (35.135175) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Harlan Arh Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093135907
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES TREVOR STEFANSKICredential: M.D.
Location Address4700 E GALBRAITH RD STE 300ACincinnati, OH 45236-2754
Mailing Address4625 Red Bank Rd Ste 101Cincinnati, OH 45227-1528 · (513) 525-1234
Fax(513) 792-3239
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateMay 4, 20269 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1093135907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in OH · 35.135175 Licensed in KY · 52028
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4700 E GALBRAITH RD STE 300A, Cincinnati, OH 45236

Secondary Practice Locations 2

Location 14625 Red Bank Rd Ste 101Cincinnati, OH 45227-1528 · Phone (513) 525-1234
Location 237 Ball Park RdHarlan, KY 40831-1701 · Phone (606) 573-4520 · Fax (606) 573-6392

Accepted 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

Dr. James Trevor Stefanski 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 ID7416171343
PECOS Enrollment IDI20190718003675, I20200102000219
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.

Areas of Expertise CMS Part B claims 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
824 services63 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.
111 services76 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.
110 services88 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
88 services61 patients
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.
64 services64 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
59 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 6

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

Orthopaedic Surgery (Sports Medicine)
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Physician Assistant
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Orthopaedic Surgery (Sports Medicine)
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Durable Medical Equipment & Medical Supplies
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Physician Assistant
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Orthopaedic Surgery
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236

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 James Stefanski's NPI number?

The NPI number for James Stefanski is 1093135907. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is James Stefanski located?

James Stefanski practices at 4700 E Galbraith Rd Ste 300A, Cincinnati, OH 45236. The listed phone number is (513) 347-9999.

What is James Stefanski's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Stefanski enrolled in Medicare?

Yes. James Stefanski 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.

What insurance does James Stefanski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list James Stefanski 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 James Stefanski affiliated with any hospitals?

According to CMS data, James Stefanski is affiliated with Harlan Arh Hospital, The Jewish Hospital-Mercy Health, Adena Regional Medical Center and Bethesda North.

When was this NPI record last updated?

The NPPES record for James Stefanski was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.