DR. STEFANOS BOUKOVALAS M.D.
NPI 1235485137
Plastic Surgery in Knoxville, TN

Q: What is Stefanos Boukovalas's NPI number?

The NPI number for Stefanos Boukovalas is 1235485137. It was assigned to this individual provider in the NPPES registry on July 28, 2012.

Q: What is Stefanos Boukovalas's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since July 28, 2012PECOS EnrolledAccepts Medicare Assignment

95.69/100

CMS Quality Rating

1934 ALCOA HWY STE D362, KNOXVILLE, TN 37920(865) 305-4670 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2022, Feb 4, 2021, Jul 18, 2019 and 1 more (4 updates tracked since 2015).

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About Dr. Stefanos Boukovalas M.d. NPPES

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

DR. STEFANOS BOUKOVALAS M.D. (NPI 1235485137) is an individual plastic surgery provider in Knoxville, Tennessee, licensed in Tennessee (62868) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235485137

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. STEFANOS BOUKOVALASCredential: M.D.

Location Address1934 ALCOA HWY STE D362Knoxville, TN 37920-1524

Mailing AddressPo Box 415000-msc8156Nashville, TN 37241-8156 · (865) 670-6199 · Fax (865) 670-6198

Phone(865) 305-4670

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 28, 2012

Last NPPES UpdateApril 11, 20224 updates tracked since enumeration

NPPES CertifiedApril 11, 2022

✔ NPI 1235485137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in TN · 62868✔ Licensed in TX · BP20066599✔ Licensed in TX · BP10052157

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License MT202718 (PA)

1934 ALCOA HWY STE D362, Knoxville, TN 37920

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company 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. Stefanos Boukovalas 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 ID1254746704

PECOS Enrollment IDI20210216002032

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 Reassignment

Medicare enrollment records show Stefanos Boukovalas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Health System, Inc

0.1 mi

Surgical Oncology

1926 ALCOA HWY, STE 410
Knoxville, TN 37920

Reassigned Medicare billing, Tennessee enrollment
832 clinicians in this Medicare group

NPI 1013098623 (865) 544-9218

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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.

95.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.28

Promoting Interoperability

100

Improvement Activities

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 Stefanos Boukovalas's NPI number?

The NPI number for Stefanos Boukovalas is 1235485137. It was assigned to this individual provider in the NPPES registry on July 28, 2012.

Where is Stefanos Boukovalas located?

Stefanos Boukovalas practices at 1934 Alcoa Hwy Ste D362, Knoxville, TN 37920. The listed phone number is (865) 305-4670.

What is Stefanos Boukovalas's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Stefanos Boukovalas enrolled in Medicare?

Yes. Stefanos Boukovalas 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 organization bills Medicare for Stefanos Boukovalas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanos Boukovalas reassigns Medicare benefits to University Health System, Inc (Knoxville, TN). The 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 Stefanos Boukovalas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefanos Boukovalas accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Stefanos Boukovalas 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 Stefanos Boukovalas affiliated with any hospitals?

According to CMS data, Stefanos Boukovalas is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Stefanos Boukovalas was last updated on April 11, 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.