LYLE J STEFANICH MD
NPI 1497765143
Anesthesiology in Waterloo, IA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-3886 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2021, Mar 17, 2018, Aug 16, 2017 (3 updates tracked since 2017).

About Lyle J Stefanich Md NPPES

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

LYLE J STEFANICH MD (NPI 1497765143) is an individual anesthesiology provider in Waterloo, Iowa, licensed in Iowa (39601) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1497765143
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameLYLE J STEFANICHCredential: MD
Location Address1825 LOGAN AVEWaterloo, IA 50703-1916
Mailing Address2414 Minnetonka DrCedar Falls, IA 50613-1526 · (240) 543-3755
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 2, 20213 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1497765143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IA · 39601✔ Licensed in MN · 49054✔ Licensed in OK · 28763
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1825 LOGAN AVE, Waterloo, IA 50703

Secondary Practice Location 1

Location 1750 NE 13th St, Suite 200, OU Physicians AnesthesiologyOklahoma City, OK 73104-5010 · Phone (405) 271-4351

Other Identifiers 1

Medicaid312182000MN

Accepted 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

Lyle J Stefanich Md 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 ID6002810959
PECOS Enrollment IDI20190701001881
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 Lyle Stefanich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 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.

Areas of Expertise CMS Part B claims 2

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
33 services33 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood 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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

Anesthesiology
1825 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner
1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703
Physician Assistant
1825 LOGAN AVE
WATERLOO, IA 50703
Clinical Medical Laboratory
1825 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner (Family)
1825 LOGAN AVE
WATERLOO, IA 50703
Internal Medicine
1825 LOGAN AVE
WATERLOO, IA 50703
Pharmacist
1825 LOGAN AVE
WATERLOO, IA 50703
Social Worker (Clinical)
1825 LOGAN AVE
WATERLOO, IA 50703

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 Lyle Stefanich's NPI number?

The NPI number for Lyle Stefanich is 1497765143. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Lyle Stefanich located?

Lyle Stefanich practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-3886.

What is Lyle Stefanich's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lyle Stefanich enrolled in Medicare?

Yes. Lyle Stefanich 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 organizations bill Medicare for Lyle Stefanich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyle Stefanich reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Eau Claire, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Lyle Stefanich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lyle Stefanich accept?

Health plans from Sanford Health Plan list Lyle Stefanich 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 Lyle Stefanich affiliated with any hospitals?

According to CMS data, Lyle Stefanich is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Lyle Stefanich was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.