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DR. ROBERT CALVERT STEWART M.D.
NPI 1801892856
Surgery in Louisville, KY

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
4402 CHURCHMAN AVE, SUITE 202, LOUISVILLE, KY 40215(502) 366-1090(502) 366-1564 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert Calvert Stewart M.d. NPPES

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

DR. ROBERT CALVERT STEWART M.D. (NPI 1801892856) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (30613) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (1988).

NPPES Registry Identity

NPI1801892856
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT CALVERT STEWARTCredential: M.D.
Location Address4402 CHURCHMAN AVE, SUITE 202Louisville, KY 40215-1190
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 366-1090 · Fax (502) 366-1564
Phone(502) 366-1090
Fax(502) 366-1564
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1988
Enumeration DateJune 23, 2005
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1801892856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 30613
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License 30613 (KY)
4402 CHURCHMAN AVE, Louisville, KY 40215
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Other Identifiers 6

Medicaid100375540AIN
Medicaid64306137KY
Other30613KY · Ky Medical License #
OtherP01026556KY · Medicare Railroad
OtherF80628KY · Unique Provider Id#
Other01044681AIN · In Medical License #

Accepted Insurance

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

Dr. Robert Calvert Stewart 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 ID4880794601
PECOS Enrollment IDI20070710000262, I20140403000425
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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
55 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 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.
28 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 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.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.63 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,472 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

TRICIA L. FLAKE ARNP
Nurse Practitioner (Family)
4402 CHURCHMAN AVE, SUITE 410
LOUISVILLE, KY 40215
Jefferson County (502) 367-6322
DR. JOHN N OLSOFKA M.D.
Surgery
4402 CHURCHMAN AVE, STE 202
LOUISVILLE, KY 40215
Jefferson County (502) 366-1090
DR. JOSEPH CORBETT MARSHALL MD
Surgery
4402 CHURCHMAN AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-6075
DR. ARUL VERGHIS MD
Anesthesiology (Pain Medicine)
4402 CHURCHMAN AVE, SUITE 302
LOUISVILLE, KY 40215
Jefferson County (502) 366-7317
KEVIN L HARRELD MD
Orthopaedic Surgery
4402 CHURCHMAN AVE, SUITE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588
LOUISVILLE & SO INDIANA PULMONARY CARE PLC
Internal Medicine (Pulmonary Disease)
4402 CHURCHMAN AVE, SUITE 409
LOUISVILLE, KY 40215
Jefferson County (502) 368-9590
JULIA K PROHASKA PA
Physician Assistant
4402 CHURCHMAN AVE, SUITE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588
RONALD PETER MOYER MD
Allergy & Immunology
4402 CHURCHMAN AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-9935

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 Robert Stewart's NPI number?

The NPI number for Robert Stewart is 1801892856. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Robert Stewart located?

Robert Stewart practices at 4402 Churchman Ave Suite 202, Louisville, KY 40215. The listed phone number is (502) 366-1090.

What is Robert Stewart's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Stewart enrolled in Medicare?

Yes. Robert 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.

What insurance does Robert Stewart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Robert Stewart 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 Robert Stewart affiliated with any hospitals?

According to CMS data, Robert Stewart is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Robert Stewart was last updated on January 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.