STEPHEN GARY LALKA M.D.
NPI 1194737478
Surgery - Vascular Surgery in Jackson, MI

Q: What is Stephen Lalka's NPI number?

The NPI number for Stephen Lalka is 1194737478. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Stephen Lalka's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Lalka was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 13, 2006PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-7481(313) 876-1305 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stephen Gary Lalka M.d. NPPES

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

STEPHEN GARY LALKA M.D. (NPI 1194737478) is an individual vascular surgery provider in Jackson, Michigan, licensed in Michigan (4301500422) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1194737478

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameSTEPHEN GARY LALKACredential: M.D.

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressPo Box 601067Charlotte, NC 28260-1067 · (704) 355-8188 · Fax (704) 355-8192

Phone(517) 205-7481

Fax(313) 876-1305

Sole ProprietorNo

Enumeration DateAugust 13, 2006

Last NPPES UpdateAugust 1, 2022

NPPES CertifiedAugust 1, 2022

✔ NPI 1194737478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in MI · 4301500422✔ Licensed in NC · 2005-01060✔ Licensed in IN · 01035930A

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 2005-01060 (NC), 01035930A (IN)

205 N EAST AVE, Jackson, MI 49201

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Secondary Practice Location 1

Location 11000 Blythe Blvd, 4th FloorCharlotte, NC 28203-5812 · Phone (704) 355-8188 · Fax (704) 355-8192

Other Identifiers 5

MedicaidN0106ASC

OtherP00245249Railroad Medicare

Other1396NNC · Bcbs

Medicaid1194737478NC

Medicaid5901224NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Gary Lalka M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49201 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $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 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant