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DR. STEPHEN J HARTSOCK MD
NPI 1114938453
Family Medicine - Sports Medicine in Avon, IN

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
1115 RONALD REAGAN PKWY, STE 148, AVON, IN 46123(317) 962-8893(317) 962-6722 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Stephen J Hartsock Md NPPES

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

DR. STEPHEN J HARTSOCK MD (NPI 1114938453) is an individual sports medicine provider in Avon, Indiana, licensed in Indiana (01072804A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Indiana University School Of Medicine (2001).

NPPES Registry Identity

NPI1114938453
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. STEPHEN J HARTSOCKCredential: MD
Location Address1115 RONALD REAGAN PKWY, STE 148Avon, IN 46123-6910
Mailing Address250 N Shadeland Ave, Ste 130 - Provider EnrollmentIndianapolis, IN 46219-4959
Phone(317) 962-8893
Fax(317) 962-6722
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2001
Enumeration DateAugust 11, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1114938453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IN · 01072804A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedSpecialistTaxonomy 174400000X · License 036110046 (IL)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 01072804A (IN)
1115 RONALD REAGAN PKWY, Avon, IN 46123
Open in Google Maps ↗

Other Identifiers 2

Other336070768IL · Controlled Substance #
Medicaid201166240IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Stephen J Hartsock Md 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 ID7214171362
PECOS Enrollment IDI20130911000804
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

3

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

Indiana University Health Care Associates, Inc
9.4 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
University Family Physicians, Inc.
9.4 mi
Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 clinicians in this Medicare group
NPI 1043275787 (317) 962-2000
Iu Health Medical Group, LLC
9.5 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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 8

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.
768 services101 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.
333 services221 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.
244 services108 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.
225 services142 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
133 services24 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.
85 services85 patients

Hospital Affiliations CMS Care Compare 3

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 20

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

OTOLARYNGOLOGY ASSOCIATES LLC
Otolaryngology
1115 RONALD REAGAN PKWY, STE 255
AVON, IN 46123
Hendricks County (317) 844-7059
DR. STEPHEN H POLLOM M.D.
Internal Medicine
1115 RONALD REAGAN PKWY, STE 318
AVON, IN 46123
Hendricks County (317) 217-2600
REBECCA J TREPCOS-KLINGER AUD
Audiologist
1115 RONALD REAGAN PKWY, STE 254
AVON, IN 46123
Hendricks County (317) 705-2700
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Surgery
1115 RONALD REAGAN PKWY, SUITE 224
AVON, IN 46123
Hendricks County (317) 272-7352
IBRAHIM S ABU ROMEH MD
Internal Medicine (Interventional Cardiology)
1115 RONALD REAGAN PKWY, STE 171
AVON, IN 46123
Hendricks County (317) 217-3000
HEATHER RENEE SEABORNE FNP
Nurse Practitioner (Family)
1115 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 948-3200
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Family Medicine
1115 RONALD REAGAN PKWY, SUITE 100
AVON, IN 46123
Hendricks County (317) 272-7013
DR. MICHAEL W MYERS M.D.
Otolaryngology
1115 RONALD REAGAN PKWY, SUITE 255
AVON, IN 46123
Hendricks County (317) 844-7059

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 Hartsock's NPI number?

The NPI number for Stephen Hartsock is 1114938453. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Stephen Hartsock located?

Stephen Hartsock practices at 1115 Ronald Reagan Pkwy Ste 148, Avon, IN 46123. The listed phone number is (317) 962-8893.

What is Stephen Hartsock's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Stephen Hartsock enrolled in Medicare?

Yes. Stephen Hartsock 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 Hartsock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Hartsock reassigns Medicare benefits to 3 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN), University Family Physicians, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Hartsock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Hartsock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Stephen Hartsock 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 Hartsock affiliated with any hospitals?

According to CMS data, Stephen Hartsock is affiliated with Hendricks Regional Health, Indiana University Health and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Hartsock was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.