MR. STEPHEN LAVALLEY CNP
NPI 1508623653
Nurse Practitioner - Family in Racine, OH

Active since March 05, 2024PECOS EnrolledAccepts Medicare Assignment
207 5TH ST, RACINE, OH 45771(740) 949-2683(740) 949-2462 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Mar 5, 2024 (2 updates tracked since 2024).

About Mr. Stephen Lavalley Cnp NPPES

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

MR. STEPHEN LAVALLEY CNP (NPI 1508623653) is an individual family provider in Racine, Ohio, licensed in Ohio (0035841) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth O'bleness Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508623653
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. STEPHEN LAVALLEYCredential: CNP
Location Address207 5TH STRacine, OH 45771-5012
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(740) 949-2462
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 5, 2024
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1508623653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OH · 0035841 Licensed in WV · 118685
Also ListedRegistered NurseTaxonomy 163W00000X · License 89526 (WV)
207 5TH ST, Racine, OH 45771

Accepted 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

Mr. Stephen Lavalley Cnp 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 ID5698113868
PECOS Enrollment IDI20240406000386
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 5

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.
67 services55 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.
54 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45771 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

Family Medicine
207 5TH ST
RACINE, OH 45771
Family Medicine
207 5TH ST
RACINE, OH 45771

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 Lavalley's NPI number?

The NPI number for Stephen Lavalley is 1508623653. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Where is Stephen Lavalley located?

Stephen Lavalley practices at 207 5th St, Racine, OH 45771. The listed phone number is (740) 949-2683.

What is Stephen Lavalley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephen Lavalley enrolled in Medicare?

Yes. Stephen Lavalley 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 Stephen Lavalley accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Stephen Lavalley 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 Stephen Lavalley affiliated with any hospitals?

According to CMS data, Stephen Lavalley is affiliated with Ohiohealth O'bleness Hospital and Holzer Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Lavalley was last updated on April 29, 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.