THEODORE LYONS STERN (MD) – Family Medicine Physician, NPI 1043202567

THEODORE LYONS STERN (MD) is a healthcare provider. based in Chicago, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01058075A (IN). The NPI Number for THEODORE LYONS STERN (MD) is 1043202567

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE LYONS STERN (MD)
NPI
1043202567
Phone
(312) 472-3173
Address
635 N Fairbanks Ct
Enumeration Date
19 August 2005
Last Update Date
23 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7737021000
Graduation Year
1998 (28 years ago)
PAC ID
1052213725
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20040126000133
Address ID
IL606052083CH47XXXSTXX401

Contacts

Secure Messaging
tstern234542@direct.edward.org
Secure Messaging
TSTERN165658@DIRECT.LUHS.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for THEODORE LYONS STERN (MD)

  • 635 N Fairbanks Ct

    Chicago, IL 606115435

    Phone: (312) 472-3173

    Fax: (312) 472-3176

    Type: Location

  • 2160 S 1st Ave

    Maywood, IL 601533328

    Phone: (708) 216-9000

    Type: Location

  • 303 W OGDEN AVE

    WESTMONT, IL 605591419

    Phone: (630) 432-6200

    Fax: (630) 432-6660

    Type: Location

  • 2022, Kelle Drive, Chesterton, Porter County, Indiana, 46304, United States

    CHESTERTON, IN 463048708

    Phone: (219) 364-3616

    Fax: (219) 364-3610

    Type: Mailing

  • CareEXPRESS Urgent Care, 650, Dickinson Road, Morgan Park, Chesterton, Porter County, Indiana, 46304, United States

    CHESTERTON, IN 463043387

    Phone: (219) 926-7755

    Fax: (219) 929-1885

    Type: Location

  • 635 N FAIRBANKS CT

    CHICAGO, IL 606115435

    Phone: (312) 472-3173

    Fax: (312) 472-3176

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040122001175IFamily PracticeINTBD
I20040126000133IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes231221$0
99213Established patient office or other outpatient visit, 20-29 minutes130126$0
81003Automated urinalysis test6362$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected4444$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for THEODORE LYONS STERN (MD)?
THEODORE LYONS STERN (MD) — NPI 1043202567 — is the standard way to identify this listing.
Is THEODORE LYONS STERN (MD) still practicing?
THEODORE LYONS STERN (MD) is currently listed as active in the public NPI registry.
What is THEODORE LYONS STERN (MD)'s specialty?
The listing groups THEODORE LYONS STERN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for THEODORE LYONS STERN (MD)?
THEODORE LYONS STERN (MD)'s geographic hint is Chicago, Illinois in our summary view.
Why does THEODORE LYONS STERN (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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