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THOMAS TROY STEWART N.P.
NPI 1679925887
Nurse Practitioner in Maryville, IL

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
2024 PINEHURST WAY, MARYVILLE, IL 62062(217) 825-5267 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Jan 4, 2026, May 16, 2023 and 2 more (5 updates tracked since 2016).

About Thomas Troy Stewart N.p. NPPES

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

THOMAS TROY STEWART N.P. (NPI 1679925887) is an individual nurse practitioner in Maryville, Illinois, licensed in Illinois (277.002043) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1679925887
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTHOMAS TROY STEWARTCredential: N.P.
Location Address2024 PINEHURST WAYMaryville, IL 62062-5697
Mailing Address2024 Pinehurst WayMaryville, IL 62062-5697 · (217) 825-5267 · Fax (833) 369-2477
Phone(217) 825-5267
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 12, 2016
Last NPPES UpdateMarch 12, 20265 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1679925887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 277.002043
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2024 PINEHURST WAY, Maryville, IL 62062
Open in Google Maps ↗

Secondary Practice Locations 6

Location 16800 State Route 162Maryville, IL 62062-8521 · Phone (618) 288-5711 · Fax (618) 288-2984
Location 2911 Stacey Burk DrFlora, IL 62839-3241 · Phone (618) 662-1624
Location 3400 N Pleasant AveCentralia, IL 62801-3098 · Phone (618) 436-8000
Location 4705 S Grand StNashville, IL 62263-1534 · Phone (618) 327-8236
Location 5400 N Caldwell StStaunton, IL 62088-1173 · Phone (618) 635-2200
Location 6260 Regency CtrCollinsville, IL 62234-4635 · Phone (217) 825-5267 · Fax (833) 369-2477

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

Thomas Troy Stewart N.p. 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 ID3779879226
PECOS Enrollment IDI20160908002208
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services69 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services53 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.
46 services44 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,209 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

CLARITY HEALTH PLLC
Nurse Practitioner
2024 PINEHURST WAY
MARYVILLE, IL 62062
Madison County (314) 246-0895

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 Thomas Stewart's NPI number?

The NPI number for Thomas Stewart is 1679925887. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Thomas Stewart located?

Thomas Stewart practices at 2024 Pinehurst Way, Maryville, IL 62062. The listed phone number is (217) 825-5267.

What is Thomas Stewart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Thomas Stewart enrolled in Medicare?

Yes. Thomas Stewart 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.

Is Thomas Stewart affiliated with any hospitals?

According to CMS data, Thomas Stewart is affiliated with Ssm Health St Mary's Hospital -Centralia, Anderson Hospital, Community Hospital Of Staunton and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Stewart was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.