DR. PATRICK KYLE STEWART M.D.
NPI 1427039197
Surgery - Surgery of the Hand in Effingham, IL

Q: What is Patrick Stewart's NPI number?

The NPI number for Patrick Stewart is 1427039197. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is Patrick Stewart's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Stewart was last updated on January 31, 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.

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment

91.8/100

CMS Quality Rating

901 MEDICAL PARK DR STE 100, EFFINGHAM, IL 62401(217) 347-7400 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2022, Jul 14, 2021 (2 updates tracked since 2021).

On this page

About Dr. Patrick Kyle Stewart M.d. NPPES

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

DR. PATRICK KYLE STEWART M.D. (NPI 1427039197) is an individual surgery of the hand provider in Effingham, Illinois, licensed in Illinois (036101783) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1427039197

Entity TypeIndividualMale

Primary Taxonomy2086S0105X

Provider Legal NameDR. PATRICK KYLE STEWARTCredential: M.D.

Location Address901 MEDICAL PARK DR STE 100Effingham, IL 62401-2191

Mailing AddressPo Box 372Mattoon, IL 61938-0372 · Fax (217) 258-2216

Phone(217) 347-7400

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1993

Enumeration DateNovember 9, 2005

Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2024

✔ NPI 1427039197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2086S0105X

License✔ Licensed in IL · 036101783

Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

901 MEDICAL PARK DR STE 100, Effingham, IL 62401

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Secondary Practice Locations 3

Location 1901 Medical Park Dr Ste 100Effingham, IL 62401-2191 · Phone (217) 347-3003 · Fax (217) 347-3005

Location 21007 Health Center DrMattoon, IL 61938-4693 · Phone (217) 258-7400 · Fax (217) 258-7401

Location 31201 Ricker Rd # DriveaSalem, IL 62881-4263 · Phone (217) 347-3003

Other Identifiers 1

Medicaid036101783IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Patrick Kyle 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 ID1658472899

PECOS Enrollment IDI20101028001372

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 Reassignment

Medicare enrollment records show Patrick Stewart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center

29 mi

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

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 12

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.

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.

202 services148 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.

188 services140 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.

176 services66 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.

139 services139 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

68 services53 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

41 services34 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.

40 services33 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.

37 services35 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

23 services16 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.

20 services20 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

19 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140034

Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County

Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson 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

Salem Township Hospital

Critical Access Hospitals · Salem, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number141345

Location1201 Ricker DriveSalem, IL 62881 · Marion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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.

91.8/100

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

Scored through an Alternative Payment Model

Quality

75.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

MRS. LONNI R WEIS OTR/L

Occupational Therapist (Hand)

901 MEDICAL PARK DR STE 100
EFFINGHAM, IL 62401

Effingham County (217) 347-3003

DR. NASH H. NAAM M.D.

Surgery (Surgery of the Hand)

901 MEDICAL PARK DR STE 100
EFFINGHAM, IL 62401

Effingham County (217) 347-3003

JILL HIGGS OTD

Occupational Therapist (Hand)

901 MEDICAL PARK DR STE 100
EFFINGHAM, IL 62401

Effingham County (217) 347-3003

DR. LISA MARIE SASSO MD

Orthopaedic Surgery (Hand Surgery)

901 MEDICAL PARK DR STE 100
EFFINGHAM, IL 62401

Effingham County (217) 347-3003

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 Patrick Stewart's NPI number?

The NPI number for Patrick Stewart is 1427039197. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Patrick Stewart located?

Patrick Stewart practices at 901 Medical Park Dr Ste 100, Effingham, IL 62401. The listed phone number is (217) 347-7400.

What is Patrick Stewart's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Patrick Stewart enrolled in Medicare?

Yes. Patrick 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.

Which organization bills Medicare for Patrick Stewart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Stewart reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, IL). The 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 Patrick Stewart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Stewart accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Patrick 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 Patrick Stewart affiliated with any hospitals?

According to CMS data, Patrick Stewart is affiliated with St Anthonys Memorial Hospital, Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Sarah Bush Lincoln Health Center and Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Stewart was last updated on January 31, 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.