JACOB T STEPHENSON MD
NPI 1265411979
Surgery - Pediatric Surgery in Houston, TX
About Jacob T Stephenson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB T STEPHENSON MD (NPI 1265411979) is an individual pediatric surgery provider in Houston, Texas, licensed in Texas (U5819) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob T Stephenson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Stephenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
San Antonio, TX 78207
- Reassigned Medicare billing, Texas enrollment
- 453 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
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 Jacob Stephenson's NPI number?
The NPI number for Jacob Stephenson is 1265411979. It was assigned to this individual provider in the NPPES registry on January 11, 2006.
Where is Jacob Stephenson located?
Jacob Stephenson practices at 1102 Bates Ave # Fc1440, Houston, TX 77030. The listed phone number is (832) 828-3660.
What is Jacob Stephenson's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Jacob Stephenson enrolled in Medicare?
Yes. Jacob Stephenson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacob Stephenson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Stephenson reassigns Medicare benefits to 2 organizations: Texas Children's Physician Group (Houston, TX) and Baylor College Of Medicine (San Antonio, TX). 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 Jacob Stephenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Stephenson accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Jacob Stephenson 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.
When was this NPI record last updated?
The NPPES record for Jacob Stephenson was last updated on January 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacob T Stephenson, MD · NPI 1265411979
Pediatric Surgery physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since January 11, 2006.
## Identity
- **NPI:** 1265411979 (Entity type: Individual)
- **Enumerated:** January 11, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** U5819 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1102 BATES AVE # FC1440, Houston, TX 77030-2698
- **Phone:** (832) 828-3660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Texas Children's Physician Group (NPI 1861675506, Houston, TX); Baylor College Of Medicine (NPI 1285079764, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1265411979) · Data from the CMS NPPES public registry.