BRYON J. STEPHENS (MD) – Surgery Physician, NPI 1639170491

BRYON J. STEPHENS (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 01040106A (IN). The NPI Number for BRYON J. STEPHENS (MD) is 1639170491

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
BRYON J. STEPHENS (MD)
NPI
1639170491
Phone
(260) 479-3514
Address
6920 POINTE INVERNESS WAY STE 200
Enumeration Date
2 August 2005
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2609697121
Graduation Year
1987 (39 years ago)
PAC ID
7315937067
Group Practice PAC ID
4981751617
Professional Enrollment ID
I20071212000350
Address ID
IN468044159FO7910XBLVD408

Contacts

Secure Messaging
bryon.stephens@lutheranhealthnetwork.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

729 GENERAL SURGERY in IN

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Provider Addresses for BRYON J. STEPHENS (MD)

  • Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468047934

    Phone: (260) 479-3514

    Fax: (260) 479-3520

    Type: Mailing

  • 7910, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46804, United States

    SUITE 112

    FORT WAYNE, IN 468044159

    Phone: (260) 969-7121

    Fax: (260) 436-4292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-12-12

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
I20071212000350IGeneral SurgeryINTBD

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 minutes11589$0
99204New patient office or other outpatient visit, 45-59 minutes5353$0
99215Established patient office or other outpatient visit, 40-54 minutes3330$0
99205New patient office or other outpatient visit, 60-74 minutes1919$0
49505Repair of groin hernia (5 years or older)1212$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 4981751617View full group profile
NameSpecialtyState
Infectious DiseaseIN
-IN
Family PracticeIN
Nurse PractitionerIN
U R O L O G YMI
Internal MedicineIN
-IN
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)IN
Family PracticeIN

Reviews

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Frequently asked questions

How do payers reference BRYON J. STEPHENS (MD)?
For BRYON J. STEPHENS (MD), use NPI 1639170491 as the unique 10-digit identifier.
Active or inactive — what applies to BRYON J. STEPHENS (MD)?
You should see BRYON J. STEPHENS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for BRYON J. STEPHENS (MD)?
At a glance, BRYON J. STEPHENS (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BRYON J. STEPHENS (MD)?
Directory geography for BRYON J. STEPHENS (MD) centers on Fort Wayne, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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