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DR. WILLIS W STEVENSON III MD
NPI 1780736645
Orthopaedic Surgery - Sports Medicine in Elkhart, IN

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
78.32/100
CMS Quality Rating
2310 CALIFORNIA ROAD, ELKHART, IN 46514(574) 264-4163(574) 262-9650 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Willis W Stevenson Iii Md NPPES

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

DR. WILLIS W STEVENSON III MD (NPI 1780736645) is an individual sports medicine provider in Elkhart, Indiana, licensed in Indiana (01062348A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2001).

NPPES Registry Identity

NPI1780736645
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. WILLIS W STEVENSON IIICredential: MD
Location Address2310 CALIFORNIA ROADElkhart, IN 46514-1228
Mailing Address2310 California RoadElkhart, IN 46514-1228 · (574) 264-4163 · Fax (574) 262-9650
Phone(574) 264-4163
Fax(574) 262-9650
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2001
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1780736645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in IN · 01062348A
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2310 CALIFORNIA ROAD, Elkhart, IN 46514
Open in Google Maps ↗

Other Identifiers 2

Other01062348AIN · Medical License
Medicaid200847880IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Willis W Stevenson Iii 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 ID749387728
PECOS Enrollment IDI20070529000041
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.

Medicare Billing Reassignment

Medicare enrollment records show Willis Stevenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic And Sports Medicine Center Of Northern Indiana, Inc
0.1 mi
Orthopaedic Surgery
2310 CALIFORNIA RD STE A
Elkhart, IN 46514
  • Reassigned Medicare billing, Indiana enrollment
  • 62 clinicians in this Medicare group
NPI 1710085253 (574) 264-0791

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
528 services101 patients
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.
192 services134 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
191 services121 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
86 services77 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.
74 services74 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.
61 services54 patients

Hospital Affiliations CMS Care Compare

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

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.

78.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.05
Promoting Interoperability90
Improvement Activities40
Cost78.03

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
52%512 patients3/55-star benchmark: 85%
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%2,281 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%518 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%260 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%581 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
91%995 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%260 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
87%862 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
19%348 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 76% · 617 patients
Patients tobacco: 80% · 54 patients
75%617 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%995 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%995 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 260 patients
5%260 patients4/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 31% · 29 patients
Patients physicalActivity: 3% · 29 patients
100%29 patients
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 18

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

JASON J HIX MD
Family Medicine (Sports Medicine)
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Elkhart County (574) 264-4163
ROBERT K ELLIS MD
Orthopaedic Surgery (Hand Surgery)
2310 CALIFORNIA ROAD, SUITE A
ELKHART, IN 46514
Elkhart County (574) 264-4163
MARIE VARNER OTR
Occupational Therapist
2310 CALIFORNIA ROAD, SUITE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
CRAIG W EREKSON MD
Orthopaedic Surgery
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Elkhart County (574) 264-4163
DAVID A BEATTY MD
Anesthesiology (Pain Medicine)
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Elkhart County (574) 264-4163
PAMELA LYNN PFAIL LAT ATC
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Elkhart County (574) 264-0791
LOUIS C SFREDDO MD
Orthopaedic Surgery
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Elkhart County (574) 264-4163
GENE W GROVE MD
Anesthesiology (Pain Medicine)
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Elkhart County (574) 264-4163

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 Willis Stevenson's NPI number?

The NPI number for Willis Stevenson is 1780736645. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Willis Stevenson located?

Willis Stevenson practices at 2310 California Road, Elkhart, IN 46514. The listed phone number is (574) 264-4163.

What is Willis Stevenson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Willis Stevenson enrolled in Medicare?

Yes. Willis Stevenson 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.

Which organization bills Medicare for Willis Stevenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willis Stevenson reassigns Medicare benefits to Orthopedic And Sports Medicine Center Of Northern Indiana, Inc (Elkhart, IN). The 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 Willis Stevenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willis Stevenson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Willis Stevenson 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 Willis Stevenson affiliated with any hospitals?

According to CMS data, Willis Stevenson is affiliated with Elkhart General Hospital.

When was this NPI record last updated?

The NPPES record for Willis Stevenson was last updated on March 7, 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.