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STEPHAN L PRO M.D.
NPI 1457507659
Orthopaedic Surgery - Sports Medicine in Lawrence, KS

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment
85.39/100
CMS Quality Rating
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049(785) 843-9125 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, May 19, 2022, Nov 23, 2020 and 3 more (6 updates tracked since 2017).

About Stephan L Pro M.d. NPPES

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

STEPHAN L PRO M.D. (NPI 1457507659) is an individual sports medicine provider in Lawrence, Kansas, licensed in Kansas (0435024) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Lawrence.

NPPES Registry Identity

NPI1457507659
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameSTEPHAN L PROCredential: M.D.
Location Address6265 ROCK CHALK DR, SUITE 1500Lawrence, KS 66049
Mailing Address6265 Rock Chalk Dr, Suite 1500Lawrence, KS 66049 · (785) 843-9125 · Fax (785) 843-3176
Phone(785) 843-9125
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2004
Enumeration DateAugust 7, 2008
Last NPPES UpdateSeptember 7, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1457507659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in KS · 0435024
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 ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD28399 (OR), 04-35024 (KS)
6265 ROCK CHALK DR, Lawrence, KS 66049
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Secondary Practice Location 1

Location 11112 W 6TH ST, STE 124LAWRENCE, KS 66044-2249 · Phone (785) 843-9125 · Fax (785) 843-3176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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

Stephan L Pro 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 ID8224174818
PECOS Enrollment IDI20120928000697
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.

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.
79 services62 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
44 services42 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.
36 services30 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.
33 services30 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.
23 services23 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

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.

85.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.44
Promoting Interoperability100
Improvement Activities40
Cost69.88

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.

EMILY NICOLE HERONEMUS DO
Family Medicine (Sports Medicine)
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Douglas County (785) 843-9125
DR. JENNIFER BIHLMAIER DO
Family Medicine
6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049
Douglas County (785) 842-5070
HEATHER N EICHMAN LSCSW
Social Worker (Clinical)
6265 ROCK CHALK DR
LAWRENCE, KS 66049
Douglas County (913) 327-7505
THOMAS R. MARCELLINO SR. MD
Family Medicine
6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049
Douglas County (785) 842-5070
DR. JAMES HUSTON M.D.
Orthopaedic Surgery
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Douglas County (785) 843-9125
DR. JOHN DONALD GALLIGAN M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Douglas County (785) 843-9125
KATHRYN R GOTTFRIED RANDALL O.T.
Occupational Therapist
6265 ROCK CHALK DR
LAWRENCE, KS 66049
Douglas County (785) 838-7885
DR. JENNIFER ANDREA HAWASLI MD
Surgery (Surgical Oncology)
6265 ROCK CHALK DR, SUITE 2400
LAWRENCE, KS 66049
Douglas County (785) 505-3715

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 Stephan Pro's NPI number?

The NPI number for Stephan Pro is 1457507659. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Stephan Pro located?

Stephan Pro practices at 6265 Rock Chalk Dr Suite 1500, Lawrence, KS 66049. The listed phone number is (785) 843-9125.

What is Stephan Pro's specialty?

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

Is Stephan Pro enrolled in Medicare?

Yes. Stephan Pro 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 Stephan Pro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Stephan Pro 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 Stephan Pro affiliated with any hospitals?

According to CMS data, Stephan Pro is affiliated with University Of Kansas Hospital and Lmh.

When was this NPI record last updated?

The NPPES record for Stephan Pro was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.