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STEPHEN THORP M.D.
NPI 1790136158
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Wausau, WI

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
425 PINE RIDGE BLVD STE 209, WAUSAU, WI 54401(715) 847-0400 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Sep 9, 2021, Jun 28, 2016 (3 updates tracked since 2016).

About Stephen Thorp M.d. NPPES

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

STEPHEN THORP M.D. (NPI 1790136158) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Wausau, Wisconsin, licensed in Wisconsin (85558-20) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790136158
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameSTEPHEN THORPCredential: M.D.
Location Address425 PINE RIDGE BLVD STE 209Wausau, WI 54401-4123
Mailing Address425 Pine Ridge Blvd Ste 209Wausau, WI 54401-4123 · (715) 847-0400
Phone(715) 847-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1790136158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in WI · 85558-20✔ Licensed in MI · 4301504731
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 4301504731 (MI)
425 PINE RIDGE BLVD STE 209, Wausau, WI 54401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Moda Health Plan, Inc..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

Stephen Thorp M.d. 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 ID3678979002
PECOS Enrollment IDI20250923003086
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.

Hospital Affiliations CMS Care Compare 4

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Other Providers at the Same Location NPPES 2

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

DR. AMANDA LEIGH EILERS D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
425 PINE RIDGE BLVD STE 209
WAUSAU, WI 54401
Marathon County (715) 847-0400
KIMBERLY MARIE KUPHAL PA
Physician Assistant (Surgical)
425 PINE RIDGE BLVD STE 209
WAUSAU, WI 54401
Marathon County (715) 847-0400

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 Thorp's NPI number?

The NPI number for Stephen Thorp is 1790136158. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Stephen Thorp located?

Stephen Thorp practices at 425 Pine Ridge Blvd Ste 209, Wausau, WI 54401. The listed phone number is (715) 847-0400.

What is Stephen Thorp's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Stephen Thorp enrolled in Medicare?

Yes. Stephen Thorp 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 Thorp accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Moda Health Plan, Inc. list Stephen Thorp 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 Thorp affiliated with any hospitals?

According to CMS data, Stephen Thorp is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital, Aspirus Wausau Hospital and Aspirus Tomahawk Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Thorp was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.