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PAUL B STEWART M.D.
NPI 1295739100
Surgery in Muncie, IN

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
2525 W UNIVERSITY AVE, STE 403, MUNCIE, IN 47303(765) 289-6381(765) 289-3883 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul B Stewart M.d. NPPES

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

PAUL B STEWART M.D. (NPI 1295739100) is an individual surgery provider in Muncie, Indiana, licensed in Indiana (01048698A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Indiana University School Of Medicine (1993).

NPPES Registry Identity

NPI1295739100
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL B STEWARTCredential: M.D.
Location Address2525 W UNIVERSITY AVE, STE 403Muncie, IN 47303-3409
Mailing Address2525 W University Ave Ste 403Muncie, IN 47303-3409 · (765) 289-6381
Phone(765) 289-6381
Fax(765) 289-3883
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1993
Enumeration DateJune 8, 2005
Last NPPES UpdateApril 18, 2013
✔ NPI 1295739100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 01048698A
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.
2525 W UNIVERSITY AVE, Muncie, IN 47303
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Other Identifiers 6

Medicare UPING68172IN
OtherP00980459IN · Rr Medicare
Medicaid200181040IN
Medicare PIN020038097IN
Medicare PIN203410GIN
Medicare PINM400041248IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Paul B Stewart 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 ID2264611268
PECOS Enrollment IDI20110125000690
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services28 patients
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.
35 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 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.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality58.23
Promoting Interoperability95
Improvement Activities40
Cost58.72

Reported Quality Measures

Breast Cancer Screening
65%196 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
46%382 patients2/55-star benchmark: 100%
Controlling High Blood Pressure
77%176 patients4/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%105 patients3/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%653 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%258 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
54%164 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier14 claims410 services$9.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELECTROCARDIOGRAPHIC INTERPRETATION SERVICE, INC.
Internal Medicine (Clinical Cardiac Electrophysiology)
2525 W UNIVERSITY AVE, SUITE 505
MUNCIE, IN 47303
Delaware County (765) 289-6166
MS. CHASITY R EVANS CPNP-PC
Nurse Practitioner (Pediatrics)
2525 W UNIVERSITY AVE, SUITE 404
MUNCIE, IN 47303
Delaware County (765) 231-9494
DERRICK THOMAS ROGERS MD
Otolaryngology
2525 W UNIVERSITY AVE, SUITE 501
MUNCIE, IN 47303
Delaware County (765) 284-2172
MICHAEL J BURRELL M.D.
Surgery
2525 W UNIVERSITY AVE, SUITE 403
MUNCIE, IN 47303
Delaware County (765) 289-6381
JOHNNY S SALAMEH MD
Psychiatry & Neurology (Neurology)
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 751-2600
RACHEL L HENCY FNP-C
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 284-2172
AHMED MOURTADA AL QADY MD, MBBCH
Internal Medicine
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-4306
CALVIN WILLHITE
Student in an Organized Health Care Education/Training Program
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-4306

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 Paul Stewart's NPI number?

The NPI number for Paul Stewart is 1295739100. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Paul Stewart located?

Paul Stewart practices at 2525 W University Ave Ste 403, Muncie, IN 47303. The listed phone number is (765) 289-6381.

What is Paul Stewart's specialty?

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

Is Paul Stewart enrolled in Medicare?

Yes. Paul Stewart 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 Paul Stewart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Paul Stewart 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 Paul Stewart affiliated with any hospitals?

According to CMS data, Paul Stewart is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Stewart was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.