STEVENSON, FAIRCHILD & SURBER OMS, P.C.
NPI 1720220015
Dentist - Oral and Maxillofacial Surgery in Valparaiso, IN
About Stevenson, Fairchild & Surber Oms, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEVENSON, FAIRCHILD & SURBER OMS, P.C. (NPI 1720220015) is a healthcare organization registered as an oral and maxillofacial surgery in Valparaiso, Indiana and active in the NPI registry since April 2009. The organization lists Cheryl Dorris, Insurance Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stevenson, Fairchild & Surber Oms, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Stevenson, Fairchild & Surber Oms, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stevenson, Fairchild & Surber Oms, P.C.'s NPI number?
The NPI number for Stevenson, Fairchild & Surber Oms, P.C. is 1720220015. It was assigned to this organization in the NPPES registry on April 1, 2009.
Where is Stevenson, Fairchild & Surber Oms, P.C. located?
Stevenson, Fairchild & Surber Oms, P.C. is located at 911 Wall St. Suite C, Valparaiso, IN 46383. The listed phone number is (219) 462-9599.
What is Stevenson, Fairchild & Surber Oms, P.C.'s specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Stevenson, Fairchild & Surber Oms, P.C. enrolled in Medicare?
Yes. Stevenson, Fairchild & Surber Oms, P.C. is registered in the Medicare PECOS enrollment system.
When is Stevenson, Fairchild & Surber Oms, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Stevenson, Fairchild & Surber Oms, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to Stevenson, Fairchild & Surber Oms, P.C.. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stevenson, Fairchild & Surber Oms, P.C. was last updated on July 7, 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.
# Stevenson, Fairchild & Surber Oms, P.c. · NPI 1720220015
Oral and Maxillofacial Surgery organization in Valparaiso, Indiana. Organization record, active in the CMS NPPES registry since April 1, 2009.
## Identity
- **NPI:** 1720220015 (Entity type: Organization)
- **Enumerated:** April 1, 2009
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Cheryl Dorris, INSURANCE COORDINATOR
## Practice location
- **Address:** 911 WALL ST., SUITE C, Valparaiso, IN 46383-2553
- **Phone:** (219) 462-9599 · **Fax:** (219) 464-0369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720220015) · Data from the CMS NPPES public registry.