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NICHOLAI STEPHENS M.D.
NPI 1134479199
Surgery in Houston, TX

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment
12121 RICHMOND AVE STE 224, HOUSTON, TX 77082(713) 935-9758(713) 467-6209 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholai Stephens M.d. NPPES

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

NICHOLAI STEPHENS M.D. (NPI 1134479199) is an individual surgery provider in Houston, Texas, licensed in Texas (P9262) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Memorial City Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1134479199
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNICHOLAI STEPHENSCredential: M.D.
Location Address12121 RICHMOND AVE STE 224Houston, TX 77082-2422
Mailing Address1140 Business Center Dr Ste 403Houston, TX 77043-2743 · (713) 935-9758 · Fax (713) 467-6209
Phone(713) 935-9758
Fax(713) 467-6209
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 17, 2012
Last NPPES UpdateApril 16, 2018
✔ NPI 1134479199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · P9262
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12121 RICHMOND AVE STE 224, Houston, TX 77082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nicholai Stephens 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 ID6608146444
PECOS Enrollment IDI20170726003707
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 2

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Nicholai Stephens's NPI number?

The NPI number for Nicholai Stephens is 1134479199. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Nicholai Stephens located?

Nicholai Stephens practices at 12121 Richmond Ave Ste 224, Houston, TX 77082. The listed phone number is (713) 935-9758.

What is Nicholai Stephens's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholai Stephens enrolled in Medicare?

Yes. Nicholai Stephens 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 Nicholai Stephens accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Nicholai Stephens 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 Nicholai Stephens affiliated with any hospitals?

According to CMS data, Nicholai Stephens is affiliated with Memorial Hermann Memorial City Hospital and Hca Houston Healthcare West.

When was this NPI record last updated?

The NPPES record for Nicholai Stephens was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.