STEPHEN SIERRA MD
NPI 1295228591
Orthopaedic Surgery - Sports Medicine in Waco, TX

Q: What is Stephen Sierra's NPI number?

The NPI number for Stephen Sierra is 1295228591. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Q: What is Stephen Sierra's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Sierra was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 June 11, 2018PECOS EnrolledAccepts Medicare Assignment

7125 NEW SANGER AVE STE 516, WACO, TX 76712(254) 752-9638 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Jul 18, 2023, Jun 11, 2018 (3 updates tracked since 2018).

On this page

About Stephen Sierra Md NPPES

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

STEPHEN SIERRA MD (NPI 1295228591) is an individual sports medicine provider in Waco, Texas, licensed in Texas (T0136) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1295228591

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameSTEPHEN SIERRACredential: MD

Location Address7125 NEW SANGER AVE STE 516Waco, TX 76712-4054

Mailing Address7125 New Sanger Ave Ste 516Waco, TX 76712-4054 · (254) 752-9638

Phone(254) 752-9638

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2018

Enumeration DateJune 11, 2018

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1295228591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in TX · T0136✔ Licensed in SC · 89582

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7125 NEW SANGER AVE STE 516, Waco, TX 76712

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Secondary Practice Location 1

Location 13601 4th StLubbock, TX 79430-9436 · Phone (806) 743-1704

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Stephen Sierra 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 ID2365897139

PECOS Enrollment IDI20241030004001

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 Reassignments

Medicare enrollment records show Stephen Sierra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health Alliance

0.3 mi

Specialist

6901 MEDICAL PKWY
Waco, TX 76712

Reassigned Medicare billing, Texas enrollment
176 clinicians in this Medicare group

NPI 1932210838 (254) 751-4061

Ghs Partners In Health, Inc.

853 mi

Urology

135 PROFESSIONAL PARK DR
Seneca, SC 29678

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Prisma Health University Medical Group
3,281 clinicians in this Medicare group

NPI 1457730814 (864) 882-5306

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

Areas of Expertise CMS Part B claims 4

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 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.

32 services32 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

25 services25 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

25 services19 patients

X-ray of collar bone 73000

An X-ray of the collar bone is a quick, painless test that produces images of this bone to help diagnose fractures or other abnormalities. The procedure involves a small amount of radiation to capture these images. During the test, you'll be asked to stay still to ensure clear results.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Parkview Regional Hospital

Acute Care Hospitals · Mexia, TX

OwnershipProprietary

CMS Certification Number450400

Location600 South Bonham StreetMexia, TX 76667 · Limestone County

Emergency services

Other Providers at the Same Location NPPES 3

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

OLUWAROTIMI OLUWAKEMI ADESINA M.D.

Pediatrics (Sports Medicine)

7125 NEW SANGER AVE STE 516
WACO, TX 76712

McLennan County (254) 752-9638

JUSTIN EFIRD

Specialist/Technologist (Athletic Trainer)

7125 NEW SANGER AVE STE 516
WACO, TX 76712

McLennan County (281) 794-9386

MAKALA PAIGE REYNOSO

Nurse Practitioner (Family)

7125 NEW SANGER AVE STE 516
WACO, TX 76712

McLennan County (254) 752-9638

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 Sierra's NPI number?

The NPI number for Stephen Sierra is 1295228591. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Stephen Sierra located?

Stephen Sierra practices at 7125 New Sanger Ave Ste 516, Waco, TX 76712. The listed phone number is (254) 752-9638.

What is Stephen Sierra's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Stephen Sierra enrolled in Medicare?

Yes. Stephen Sierra 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 organizations bill Medicare for Stephen Sierra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Sierra reassigns Medicare benefits to 2 organizations: Providence Health Alliance (Waco, TX) and Ghs Partners In Health, Inc. (Seneca, SC). 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 Stephen Sierra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Sierra accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Stephen Sierra 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 Sierra affiliated with any hospitals?

According to CMS data, Stephen Sierra is affiliated with Ascension Providence and Parkview Regional Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Sierra was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.