DR. JACK B STEPHENSON M.D. NPI 1972624542

NPI Information

  • NPI: 1972624542
  • Provider Name: DR. JACK B STEPHENSON, M.D.
  • Classification: Plastic Surgery - 2082S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8591 S BROADWAY AVE
    TYLER, TX
    ZIP 75703
  • Phone: (903) 596-9173

Map and Directions

Get Directions

NPI Details

DR. Jack B Stephenson, M.D. is a surgery of the hand plastic surgery in Tyler, TX with 19 years of experience. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Jack B Stephenson, M.D. NPI is 1972624542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

8591 S BROADWAY AVE
TYLER, TX
ZIP 75703-470
Phone: (903) 596-9173

The NPI 1972624542 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection into tendon or ligament (HCPCS:20550)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of carpal tunnel (HCPCS:20526)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Application of elbow to finger cast (HCPCS:29075)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/19/2024.

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
12082S0105XPlastic SurgerySurgery of the HandP5238TEXASYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.