STEPHAN L PRO (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1457507659

STEPHAN L PRO (M.D.) is a healthcare provider. based in Lawrence, Kansas. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD28399 (OR). The NPI Number for STEPHAN L PRO (M.D.) is 1457507659

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
STEPHAN L PRO (M.D.)
NPI
1457507659
Phone
(785) 843-9125
Address
6265 ROCK CHALK DR
Enumeration Date
7 August 2008
Last Update Date
7 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9135886144
Graduation Year
2004 (22 years ago)
PAC ID
8224174818
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20120928000697
Address ID
KS661607330KA3901XBLVD300

Contacts

Secure Messaging
stephan.pro@direct.lmh.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

324 ORTHOPEDIC SURGERY in KS

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Provider Addresses for STEPHAN L PRO (M.D.)

  • LMH Health West Campus, 6265, Rock Chalk Drive, Lawrence, Douglas County, Kansas, 66049, United States

    SUITE 1500

    LAWRENCE, KS 66049

    Phone: (785) 843-9125

    Type: Location

  • 1112 W 6TH ST

    STE 124

    LAWRENCE, KS 660442249

    Phone: (785) 843-9125

    Fax: (785) 843-3176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Titan Surgical Group, Llc ($66).

Total Amount

$114

General + Research + Ownership

Payments

3

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

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: 2012-09-28

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
I20120928000697IOrthopedic SurgeryKSTBD

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 minutes6554$0
99213Established patient office or other outpatient visit, 20-29 minutes4132$0
J1030Injection, methylprednisolone acetate, 40 mg4119$0
20610Aspiration and/or injection of fluid from large joint3732$0
73564X-ray of knee, 4 or more views3232$0
View full utilization report →

Insurance plans in this area (ZIP 66049)

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Provider's Procedures

STEPHAN L PRO (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYKS20610Aspiration and/or injection of large joint or joint capsule8948

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: 8921911587View full group profile

Reviews

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Frequently asked questions

Is there an official ID for STEPHAN L PRO (M.D.) in U.S. healthcare records?
The official identifier for STEPHAN L PRO (M.D.) is NPI 1457507659.
Is STEPHAN L PRO (M.D.) still an active registrant?
STEPHAN L PRO (M.D.) carries an active NPI according to the public dataset.
How would a patient describe STEPHAN L PRO (M.D.)'s focus?
For STEPHAN L PRO (M.D.), the primary taxonomy reads as Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is STEPHAN L PRO (M.D.) associated with Lawrence?
Public fields place STEPHAN L PRO (M.D.) around Lawrence, Kansas. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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