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DR. KALLE MARC STIDHAM D.O.
NPI 1164627501
Orthopaedic Surgery in San Jose, CA

Active since June 17, 2007PECOS Enrolled
550 S WINCHESTER BLVD, SUITE 100, SAN JOSE, CA 95128(650) 851-4900(408) 556-8415 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kalle Marc Stidham D.o. NPPES

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

DR. KALLE MARC STIDHAM D.O. (NPI 1164627501) is an individual orthopaedic surgery provider in San Jose, California, licensed in California (20A10063) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1164627501
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KALLE MARC STIDHAMCredential: D.O.
Location Address550 S WINCHESTER BLVD, SUITE 100San Jose, CA 95128-2544
Mailing Address500 Arguello St, Suite 100Redwood City, CA 94063-1566 · (650) 851-4900 · Fax (650) 995-1202
Phone(650) 851-4900
Fax(408) 556-8415
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 17, 2007
Last NPPES UpdateApril 22, 2016
✔ NPI 1164627501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · 20A10063
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.
550 S WINCHESTER BLVD, San Jose, CA 95128
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Other Identifiers 2

Medicare PINCM694ZCA
Medicare PINCM694YCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kalle Marc Stidham D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325112428
PECOS Enrollment IDI20091207000012
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 Kalle Stidham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

James Petros, M.D., Inc.
4.4 mi
Physical Medicine & Rehabilitation
14777 LOS GATOS BLVD STE 201
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: James Petros MD Inc
  • 31 clinicians in this Medicare group
NPI 1336448299 (408) 528-8833
Advanced Surgical Associates
6.3 mi
Surgery
200 JOSE FIGUERES AVE, SUITE 225
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1013027150 (408) 929-5610
Dr Morteza Farr Do Inc
6.4 mi
Orthopaedic Surgery
125 N JACKSON AVE STE 101
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1033425350 (408) 258-6565

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 6

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.

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.
75 services45 patients
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.
41 services31 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.
35 services29 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.
33 services28 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.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 3

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

JESSICA MARIE KALTSAS PTA
Physical Therapy Assistant
550 S WINCHESTER BLVD, SUITE 125
SAN JOSE, CA 95128
Santa Clara County (408) 293-7767
SPORTS ORTHOPEDIC AND REHABILITATION MEDICINE ASSOCIATES
Orthopaedic Surgery (Sports Medicine)
550 S WINCHESTER BLVD
SAN JOSE, CA 95128
Santa Clara County (408) 247-4900
REBECCA GUARINO MD
Internal Medicine
550 S WINCHESTER BLVD, SUITE 100
SAN JOSE, CA 95128
Santa Clara County (408) 293-7767

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 Kalle Stidham's NPI number?

The NPI number for Kalle Stidham is 1164627501. It was assigned to this individual provider in the NPPES registry on June 17, 2007.

Where is Kalle Stidham located?

Kalle Stidham practices at 550 S Winchester Blvd Suite 100, San Jose, CA 95128. The listed phone number is (650) 851-4900.

What is Kalle Stidham's specialty?

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

Is Kalle Stidham enrolled in Medicare?

Yes. Kalle Stidham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kalle Stidham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalle Stidham reassigns Medicare benefits to 3 organizations: James Petros, M.D., Inc. (Los Gatos, CA), Advanced Surgical Associates (San Jose, CA) and Dr Morteza Farr Do Inc (San Jose, CA). 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 Kalle Stidham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kalle Stidham was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.