STEPHEN M HANSEN M.D. NPI 1164491460

NPI Information

  • NPI: 1164491460
  • Provider Name: STEPHEN M HANSEN, M.D.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 950 HOSPITAL WAY STE A
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 478-4522

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NPI Details

Stephen M Hansen, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Pocatello, ID with 26 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Stephen M Hansen, M.D. NPI is 1164491460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1999

The provider's business location address is:

950 HOSPITAL WAY STE A
POCATELLO, ID
ZIP 83201-762
Phone: (208) 478-4522
Fax: (208) 712-6868

The NPI 1164491460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Release of lower spinal cord and/or nerves, single segment (HCPCS:63056)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 3/17/2006 and was last updated on 8/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine7102972-1205UTAHNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineM-11666IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18425670MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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