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STEPHEN W MIHALSKY MD
NPI 1205856820
Surgery - Surgery of the Hand in Edmond, OK

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
105 S BRYANT AVE, SUITE 407, EDMOND, OK 73034(405) 348-5060(405) 348-7508 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen W Mihalsky Md NPPES

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

STEPHEN W MIHALSKY MD (NPI 1205856820) is an individual surgery of the hand provider in Edmond, Oklahoma, licensed in Oklahoma (18572) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1205856820
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameSTEPHEN W MIHALSKYCredential: MD
Location Address105 S BRYANT AVE, SUITE 407Edmond, OK 73034-6399
Mailing Address105 S Bryant Ave, Suite 407Edmond, OK 73034-6399 · (405) 348-5060 · Fax (405) 348-7508
Phone(405) 348-5060
Fax(405) 348-7508
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 3, 2015
✔ NPI 1205856820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License✔ Licensed in OK · 18572
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedSurgeryTaxonomy 208600000X · License 18572 (OK)
105 S BRYANT AVE, Edmond, OK 73034
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Mending Health.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

Stephen W Mihalsky 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 ID6103818422
PECOS Enrollment IDI20240423003804
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 7

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.
53 services40 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.
48 services48 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.
39 services35 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
34 services20 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
15 services14 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73034 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

VIORICA KHALILI MD
Internal Medicine (Nephrology)
105 S BRYANT AVE, SUITE 202
EDMOND, OK 73034
Oklahoma County (405) 340-4565
MARK R LYNN MD INC
Family Medicine
105 S BRYANT AVE, SUITE 204A
EDMOND, OK 73034
Oklahoma County (405) 359-3637
MICHAEL D. SWAFFORD, PSY.D., P.C.
Counselor
105 S BRYANT AVE, SUITE 302
EDMOND, OK 73034
Oklahoma County (405) 844-7793
EDMOND LASER INSTITUTE L.L.C.
Clinic/Center (Ambulatory Surgical)
105 S BRYANT AVE, SUITE 105
EDMOND, OK 73034
Oklahoma County (405) 348-9797
DR. SARAH ELIZABETH AYRES M.D.
Family Medicine
105 S BRYANT AVE, SUITE 306
EDMOND, OK 73034
Oklahoma County (405) 340-8918
DR. JOHN CHRISTOPHER MARTIN MD
Family Medicine
105 S BRYANT AVE, SUITE 300
EDMOND, OK 73034
Oklahoma County (405) 348-9070
MITCHELL HOROWITZ MD PC
Internal Medicine (Pulmonary Disease)
105 S BRYANT AVE, SUITE 309
EDMOND, OK 73034
Oklahoma County (405) 471-6464
FRETA DEANNA HALE CST/CFA
Specialist/Technologist, Other (Surgical Assistant)
105 S BRYANT AVE, SUITE 410
EDMOND, OK 73034
Oklahoma County (405) 340-4744

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 Mihalsky's NPI number?

The NPI number for Stephen Mihalsky is 1205856820. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Stephen Mihalsky located?

Stephen Mihalsky practices at 105 S Bryant Ave Suite 407, Edmond, OK 73034. The listed phone number is (405) 348-5060.

What is Stephen Mihalsky's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Stephen Mihalsky enrolled in Medicare?

Yes. Stephen Mihalsky 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 Stephen Mihalsky accept?

Health plans from CareSource, Medica and Mending Health list Stephen Mihalsky 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 Mihalsky affiliated with any hospitals?

According to CMS data, Stephen Mihalsky is affiliated with Union Hospital Inc.

When was this NPI record last updated?

The NPPES record for Stephen Mihalsky was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.