DR. BENJAMIN W. STEVENS M.D.
NPI 1295953172
Orthopaedic Surgery in Springfield, IL

Q: What is Benjamin Stevens's NPI number?

The NPI number for Benjamin Stevens is 1295953172. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Benjamin Stevens's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Stevens was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

800 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Benjamin W. Stevens M.d. NPPES

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

DR. BENJAMIN W. STEVENS M.D. (NPI 1295953172) is an individual orthopaedic surgery provider in Springfield, Illinois, licensed in Illinois (036125854) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (2004).

NPPES Registry Identity

NPI1295953172

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. BENJAMIN W. STEVENSCredential: M.D.

Location Address800 N 1ST STSpringfield, IL 62702-3719

Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541

Phone(217) 528-7541

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2004

Enumeration DateApril 23, 2007

Last NPPES UpdateMay 19, 2020

NPPES CertifiedMay 19, 2020

✔ NPI 1295953172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036125854

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 036125854 (IL)

800 N 1ST ST, Springfield, IL 62702

Open in Google Maps ↗

Other Identifiers 1

Medicaid036125854IL

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

Dr. Benjamin W. Stevens 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 ID7113072596

PECOS Enrollment IDI20101201000321

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 20

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

438 services266 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

326 services183 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.

199 services145 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.

150 services139 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.

142 services142 patients

Lengthening of calf muscle 27687

Lengthening of the calf muscle is a procedure aimed at increasing flexibility and improving motion in the foot and ankle. This surgical process involves making a small incision to release the tight muscle or tendon, aiding in better mobility.

67 services67 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

58 services39 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

30 services23 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

23 services14 patients

Fusion of multiple foot joints 28730

Fusion of multiple foot joints is a surgical procedure aimed at reducing pain and improving stability in your foot. It involves joining two or more bones in the foot to limit motion and relieve discomfort. The recovery period varies, often requiring a cast and limited weight-bearing activities.

22 services22 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

18 services18 patients

Harvest of graft from large bone 20902

Harvest of graft from large bone is a medical procedure where a small piece of bone is taken from a larger bone in your body. This bone graft is then used to help repair or rebuild another area where bone is damaged or missing, promoting healing and growth.

18 services18 patients

Application of stress by physician for joint imaging 77071

This procedure involves a doctor applying pressure to your joint while capturing images. The stress helps reveal issues not visible in a relaxed state. It's like a workout for your joints under professional supervision. It's safe and aids in accurate diagnosis.

17 services17 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.

17 services17 patients

Fusion of ankle joint, open procedure 27870

An open ankle fusion procedure involves surgically joining the bones of your ankle into a single unit to reduce pain and improve stability. This is typically done if your ankle joint is severely damaged. The procedure involves making an incision, removing the damaged joint, and then using screws or plates to hold the bones together as they heal and fuse.

15 services15 patients

Fusion of lower leg bone at knee or ankle joint 27871

Fusion of the lower leg bone at the knee or ankle joint is a surgical procedure where the bones are permanently connected to reduce pain and improve stability. It involves removing the damaged joint and joining the bones together, which then heal into a single, solid bone.

15 services15 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

13 services13 patients

Removal of surface implant from bone 20670

Removal of a surface implant from bone is a surgical procedure where a previously placed implant on a bone is carefully taken out. This might be due to complications, healing, or device lifespan. It's performed under anesthesia to ensure comfort.

11 services11 patients

Transfer of deep tendon of foot with muscle rerouting 27691

This procedure involves moving a deep tendon in your foot to a new location. It also includes rerouting a muscle to improve foot function. It's typically done to correct foot deformities or improve walking ability.

11 services11 patients

Correction of bunion 28292

A bunion correction is a surgical procedure to realign the bone, ligaments, tendons, and nerves so your big toe can be brought back to its correct position. This procedure reduces foot pain and improves balance and foot function.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141332

Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County

Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

75/100

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

Scored through an Alternative Payment Model

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

5 suppliers11 claims11 services$32.73 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

3 suppliers50 claims51 services$214.29 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.

KENDRA MILLER PTA

Physical Therapy Assistant