DR. JEREMY SHANE STEVENS (M.D.) – Orthopaedic Surgery Physician, NPI 1306843446

DR. JEREMY SHANE STEVENS (M.D.) is a healthcare provider. based in Mattoon, Illinois. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 231357 (MA). The NPI Number for DR. JEREMY SHANE STEVENS (M.D.) is 1306843446

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY SHANE STEVENS (M.D.)
NPI
1306843446
Phone
(217) 238-6055
Address
1005 HEALTH CENTER DR STE 201
Enumeration Date
5 July 2005
Last Update Date
8 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2172383435
Graduation Year
1998 (28 years ago)
PAC ID
8527022920
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20050323001020
Address ID
IL619384607MA1004XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,265 ORTHOPEDIC SURGERY in IL

Provider Addresses for DR. JEREMY SHANE STEVENS (M.D.)

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384693

    Phone: (217) 238-6055

    Fax: (217) 258-2216

    Type: Mailing

  • 1004 HEALTH CENTER DR STE 100

    MATTOON, IL 619389253

    Phone: (217) 238-3435

    Fax: (217) 238-3492

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,105.

Total Amount is formed as General ($1,105) + Research ($0) + Ownership ($0) = $1,105.

Last reported payment date: 2024-11-28 • Largest payer in this snapshot: Stryker Corporation ($600).

Total Amount

$1,105

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050323001020IOrthopedic SurgeryILTBD

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 minutes163121$0
20610Aspiration and/or injection of fluid from large joint12478$0
99204New patient office or other outpatient visit, 45-59 minutes6666$0
99213Established patient office or other outpatient visit, 20-29 minutes6452$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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Provider's Procedures

DR. JEREMY SHANE STEVENS (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYIL73630X-ray of foot, minimum of 3 views2619

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: 5092614867View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference DR. JEREMY SHANE STEVENS (M.D.)?
For DR. JEREMY SHANE STEVENS (M.D.), use NPI 1306843446 as the unique 10-digit identifier.
Is there an active status for DR. JEREMY SHANE STEVENS (M.D.)?
For scheduling context, DR. JEREMY SHANE STEVENS (M.D.) is shown as active in the registry.
What area of care is associated with DR. JEREMY SHANE STEVENS (M.D.)?
DR. JEREMY SHANE STEVENS (M.D.)'s record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. JEREMY SHANE STEVENS (M.D.) associated with Mattoon?
Public fields place DR. JEREMY SHANE STEVENS (M.D.) around Mattoon, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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