DR. WILLIS W III STEVENSON (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1780736645
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
184 SPORTS MEDICINE in IN
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Provider Addresses for DR. WILLIS W III STEVENSON (MD)
California Road, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465141228
Phone: (574) 264-4163
Fax: (574) 262-9650
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $406.
Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Stryker Corporation ($406).
Total Amount
$406
General + Research + Ownership
Payments
6
Total payment records
General Amount
$406
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $406 |
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: 2007-05-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070529000041 | I | Sports Medicine | IN | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 394 | 31 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 369 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 165 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 198 | 113 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 84 | 27 | $0 |
Insurance plans in this area (ZIP 46514)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Sports Medicine, Family Practice | IN | |
| Occupational Therapist In Private Practice | IL | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery | IN | |
| Sports Medicine, Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Pain Management, Anesthesiology | IN | |
| Physical Therapist In Private Practice | IN |
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