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STEPHEN W GANSHIRT M.D.
NPI 1245200757
Surgery in Lake Forest, IL

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 N WESTMORELAND RD, SUITE 205, LAKE FOREST, IL 60045(847) 234-4310(847) 234-4336 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen W Ganshirt M.d. NPPES

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

STEPHEN W GANSHIRT M.D. (NPI 1245200757) is an individual surgery provider in Lake Forest, Illinois, licensed in Illinois (036-088721) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1989).

NPPES Registry Identity

NPI1245200757
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTEPHEN W GANSHIRTCredential: M.D.
Location Address800 N WESTMORELAND RD, SUITE 205Lake Forest, IL 60045-1673
Mailing Address800 N Westmoreland Rd Ste 100Lake Forest, IL 60045-1671 · (847) 234-4310 · Fax (847) 234-4336
Phone(847) 234-4310
Fax(847) 234-4336
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1989
Enumeration DateJanuary 25, 2006
Last NPPES UpdateOctober 3, 2017
✔ NPI 1245200757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036-088721
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.
800 N WESTMORELAND RD, Lake Forest, IL 60045
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified345090IL
Medicare UPINF80924IL

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 Ganshirt 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 ID5193913200
PECOS Enrollment IDI20110120000174
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 11

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.

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.
114 services114 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.
56 services51 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services30 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
39 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services35 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.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

DR. JASON T GARTI M.D.
Internal Medicine
800 N WESTMORELAND RD, SUITE 100
LAKE FOREST, IL 60045
Lake County (847) 234-8866
JAMES D FRYDMAN MD
Surgery
800 N WESTMORELAND RD, SUITE 205
LAKE FOREST, IL 60045
Lake County (847) 234-4310
DAVID VIGDER MD SC
Internal Medicine
800 N WESTMORELAND RD, SUITE 206
LAKE FOREST, IL 60045
Lake County (847) 615-2227
KATHRYN VITALE MSN, APN, AGCNS-BC
Clinical Nurse Specialist
800 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 234-5600
TAEHAN P KIM MD, PHD
Dermatology
800 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 535-7664
NORTHSHORE EYE CARE, LTD
Ophthalmology
800 N WESTMORELAND RD, SUITE 206
LAKE FOREST, IL 60045
Lake County (847) 295-2445
DR. ALEX STEVE TOSIOU M.D.
Internal Medicine (Gastroenterology)
800 N WESTMORELAND RD, SUITE 102
LAKE FOREST, IL 60045
Lake County (847) 295-1300
SURGEONS GROUP, S.C.
Surgery
800 N WESTMORELAND RD, SUITE 205
LAKE FOREST, IL 60045
Lake County (847) 234-4310

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 Ganshirt's NPI number?

The NPI number for Stephen Ganshirt is 1245200757. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Stephen Ganshirt located?

Stephen Ganshirt practices at 800 N Westmoreland Rd Suite 205, Lake Forest, IL 60045. The listed phone number is (847) 234-4310.

What is Stephen Ganshirt's specialty?

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

Is Stephen Ganshirt enrolled in Medicare?

Yes. Stephen Ganshirt 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.

Is Stephen Ganshirt affiliated with any hospitals?

According to CMS data, Stephen Ganshirt is affiliated with Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Ganshirt was last updated on October 3, 2017. 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.