STEPHEN V HEADLEY D.O.
NPI 1679663603
Family Medicine in Portage, IN

Q: What is Stephen Headley's NPI number?

The NPI number for Stephen Headley is 1679663603. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Stephen Headley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Headley was last updated on April 18, 2023. 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.

Active since October 13, 2006PECOS Enrolled

3283 WILLOWCREEK RD, PORTAGE, IN 46368(219) 764-8439(219) 764-8463 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2021, Aug 10, 2018 (2 updates tracked since 2018).

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About Stephen V Headley D.o. NPPES

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

STEPHEN V HEADLEY D.O. (NPI 1679663603) is an individual family medicine provider in Portage, Indiana, licensed in Indiana (02005477A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679663603

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSTEPHEN V HEADLEYCredential: D.O.

Location Address3283 WILLOWCREEK RDPortage, IN 46368-5054

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 764-8439

Fax(219) 764-8463

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateApril 18, 20232 updates tracked since enumeration

NPPES CertifiedApril 18, 2023

✔ NPI 1679663603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 02005477A✔ Licensed in IL · 036105186

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3283 WILLOWCREEK RD, Portage, IN 46368

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Other Identifiers 1

Medicaid036105186IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen V Headley D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46368 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 6

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

DR. ADRIENNE BAKSINSKI D.O.

Family Medicine