DR. RODRICK ALBERT STEVENSON (MD, FACS) – Surgery Physician, NPI 1689642340

DR. RODRICK ALBERT STEVENSON (MD, FACS) is a healthcare provider. based in Williamsport, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials MD, FACS. They hold a License No. MD047042L (PA). The NPI Number for DR. RODRICK ALBERT STEVENSON (MD, FACS) is 1689642340

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. RODRICK ALBERT STEVENSON (MD, FACS)
NPI
1689642340
Phone
Not provided
Address
1201 GRAMPIAN BLVD
Enumeration Date
9 March 2006
Last Update Date
30 November 2007

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
3779487590
Group Practice PAC ID
7416840160
Professional Enrollment ID
I20031124000246
Address ID
PA162148568CL24XXXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,999 GENERAL SURGERY in PA

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Provider Addresses for DR. RODRICK ALBERT STEVENSON (MD, FACS)

  • 1201, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    PO BOX 3127

    WILLIAMSPORT, PA 177011900

    Phone:

    Type: Mailing

  • 699, Rural Avenue, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    SUITE 104

    WILLIAMSPORT, PA 177013246

    Phone: (570) 321-3180

    Fax: (570) 321-3181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($16).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

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: 2003-11-24

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
I20031124000246IGeneral SurgeryPATBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes4439$0
99213Established patient office or other outpatient visit, 20-29 minutes3331$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope2828$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2819$0
45378Diagnostic exam of large bowel using a flexible endoscope2424$0
View full utilization report →

Insurance plans in this area (ZIP 17701)

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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: 7416840160View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. RODRICK ALBERT STEVENSON (MD, FACS)'s NPI?
Yes. DR. RODRICK ALBERT STEVENSON (MD, FACS) is listed with NPI 1689642340 in the public NPI dataset.
Is DR. RODRICK ALBERT STEVENSON (MD, FACS) listed as active for patients and plans?
The listing shows DR. RODRICK ALBERT STEVENSON (MD, FACS) as active in the NPI system.
What is DR. RODRICK ALBERT STEVENSON (MD, FACS)'s primary classification?
Surgery Physician is the headline specialty for DR. RODRICK ALBERT STEVENSON (MD, FACS) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RODRICK ALBERT STEVENSON (MD, FACS)?
DR. RODRICK ALBERT STEVENSON (MD, FACS)'s geographic hint is Williamsport, Pennsylvania in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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