STEPHANIE COSTA BYRUM (MD) – Surgery Physician, NPI 1083833602
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
141 PLASTIC AND RECONSTRUCTIVE SURGERY in AZ
Provider Addresses for STEPHANIE COSTA BYRUM (MD)
2940 E. BANNER GATEWAY DRIVE
SUITE #450
GILBERT, AZ 852342165
Phone: (480) 256-6444
Fax: (480) 256-4734
Type: Mailing
2646 E. BANNER GATEWAY DRIVE
GILBERT, AZ 852342165
Phone: (480) 256-6444
Fax: (480) 256-4734
Type: Location
PO BOX 2147
SUITE #450
FORT MYERS, FL 339022147
Phone: (239) 343-9325
Fax: (239) 468-7950
Type: Mailing
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 339057813
Phone: (239) 343-9325
Fax: (239) 468-7950
Type: Location
2646 E. Banner Gateway Drive
Gilbert, AZ 852342165
Phone: (480) 256-6444
Fax: (480) 256-4734
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $654.
Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Sirius Medical Systems ($654).
Total Amount
$654
General + Research + Ownership
Payments
4
Total payment records
General Amount
$654
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sirius Medical Systems | $654 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070917000167 | I | General Surgery | AZ | TBD |
| I20260128004007 | I | Plastic And Reconstructive Surgery | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 19301 | Partial removal of breast | 104 | 84 | $0 |
| 38900 | Imaging of lymph nodes during surgery | 64 | 64 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 59 | 59 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 59 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 85234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | NC | |
| Physician Assistant | AZ | |
| - | AZ | |
| Cardiovascular Disease (Cardiology) | AZ | |
| Physician Assistant | NC | |
| Physician Assistant | FL | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ |
Reviews
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