DR. STEPHEN E SOUTHARD JR. M.D.
NPI 1316074776
Internal Medicine in Erie, CO

Active since February 27, 2007PECOS Enrolled
1160 HICKORY WAY, ERIE, CO 80516(617) 840-8445(617) 789-9549 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stephen E Southard Jr. M.d. NPPES

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

DR. STEPHEN E SOUTHARD JR. M.D. (NPI 1316074776) is an individual internal medicine provider in Erie, Colorado, licensed in Colorado (CDRH.0061297) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316074776
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHEN E SOUTHARD JR.Credential: M.D.
Location Address1160 HICKORY WAYErie, CO 80516-7994
Mailing Address1160 Hickory WayErie, CO 80516-7994 · (617) 840-8445 · Fax (617) 789-9549
Fax(617) 789-9549
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1316074776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CO · CDRH.0061297✔ Licensed in MA · L-228504✔ Licensed in AL · 38056✔ Licensed in NV · 18759✔ Licensed in TN · 59425✔ Licensed in UT · 11224295-1205✔ Licensed in CA · C197633✔ Licensed in IN · 01094663A✔ Licensed in GA · 102003✔ Licensed in MO · 2024036775✔ Licensed in NC · 2024-02849✔ Licensed in TX · V5609
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 1043889967 (NY), 1992372403 (CT), 1992372403 (NJ)
1160 HICKORY WAY, Erie, CO 80516

Secondary Practice Locations 2

Location 13065 Brighton 2nd St # 1014Brooklyn, NY 11235-7404 · Phone (844) 359-8363 · Fax (833) 955-3592
Location 21800 Phoenix Blvd Ste 128-12Atlanta, GA 30349-5593 · Phone (844) 359-8363 · Fax (833) 929-3520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen E Southard Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

General Practice
4370 ALPINE ROAD, STE 206
Portola Valley, CA 94028
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Healthtap Medical Group PC
  • 5 clinicians in this Medicare group
General Practice
65 WALNUT ST, SUITE 500
Wellesley, MA 02481
  • Reassigned Medicare billing, Massachusetts enrollment
  • 18 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80516 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Southard's NPI number?

The NPI number for Stephen Southard is 1316074776. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Stephen Southard located?

Stephen Southard practices at 1160 Hickory Way, Erie, CO 80516. The listed phone number is (617) 840-8445.

What is Stephen Southard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephen Southard enrolled in Medicare?

Yes. Stephen Southard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephen Southard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Southard reassigns Medicare benefits to 2 organizations: Healthtap Medical Group, P.C. (Portola Valley, CA) and Wellesley Primary Care Medicine, PC (Wellesley, MA). 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 Southard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephen Southard was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.