DR. STEPHEN V NALBACH JR. MD
NPI 1669672960
Neurological Surgery in Tyler, TX

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment
70.29/100
CMS Quality Rating
700 OLYMPIC PLAZA CIR STE 850, TYLER, TX 75701(903) 595-2441(903) 595-0743 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen V Nalbach Jr. Md NPPES

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

DR. STEPHEN V NALBACH JR. MD (NPI 1669672960) is an individual neurological surgery provider in Tyler, Texas, licensed in Texas (P9408) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and is a graduate of Temple University School Of Medicine (2007).

NPPES Registry Identity

NPI1669672960
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. STEPHEN V NALBACH JR.Credential: MD
Location Address700 OLYMPIC PLAZA CIR STE 850Tyler, TX 75701-1955
Mailing Address700 Olympic Plaza Cir Ste 850Tyler, TX 75701-1955 · (903) 595-2441 · Fax (903) 595-0743
Fax(903) 595-0743
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2007
Enumeration DateJuly 24, 2007
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1669672960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · P9408
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
700 OLYMPIC PLAZA CIR STE 850, Tyler, TX 75701

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

Dr. Stephen V Nalbach Jr. 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 ID5395983514
PECOS Enrollment IDI20140807002342
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 13

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.
96 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services65 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.
52 services45 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
46 services25 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.
34 services34 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
32 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450080
Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County
Emergency services Birthing friendly

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX
OwnershipPhysician
CMS Certification Number450864
Location1814 Roseland BoulevardTyler, TX 75701 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

70.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.97
Improvement Activities40
Cost35.68

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701
Nurse Practitioner
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701
Nurse Practitioner
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701
Nurse Practitioner (Family)
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701
Anesthesiology (Pain Medicine)
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701
Neurological Surgery
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701
Nurse Practitioner (Family)
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701
Nurse Practitioner (Acute Care)
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 75701

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 Nalbach's NPI number?

The NPI number for Stephen Nalbach is 1669672960. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Stephen Nalbach located?

Stephen Nalbach practices at 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701. The listed phone number is (903) 595-2441.

What is Stephen Nalbach's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Stephen Nalbach enrolled in Medicare?

Yes. Stephen Nalbach 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 Nalbach accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Stephen Nalbach 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 Nalbach affiliated with any hospitals?

According to CMS data, Stephen Nalbach is affiliated with Titus Regional Medical Center, Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Athens Hospital, The University Of Texas Health Science Center At Tyler and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Nalbach was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.