STEPHEN ELLEDGE (P.A.) – Surgical Physician Assistant, NPI 1063829653

STEPHEN ELLEDGE (P.A.) is a healthcare provider. based in Jbsa lackland, Texas. specializing in Surgical Physician Assistant. They hold the professional credentials P.A.. The NPI Number for STEPHEN ELLEDGE (P.A.) is 1063829653

Main info

Male
Name
STEPHEN ELLEDGE (P.A.)
NPI
1063829653
Phone
(210) 292-3473
Address
1100 WILFORD HALL LOOP FL 1
Enumeration Date
16 July 2014
Last Update Date
24 March 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for STEPHEN ELLEDGE (P.A.)

  • 1100 WILFORD HALL LOOP FL 1

    JBSA LACKLAND, TX 782365638

    Phone: (210) 292-3473

    Type: Mailing

  • 310 W LOSEY ST

    SCOTT AFB, IL 622255250

    Phone: (618) 256-7804

    Fax: (618) 256-7619

    Type: Mailing

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 $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Bioventus LLC ($146).

Total Amount

$146

General + Research + Ownership

Payments

1

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bioventus LLC$146
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78236)

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Reviews

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Frequently asked questions

What number should I use to identify STEPHEN ELLEDGE (P.A.) for billing?
Administrative and clinical systems typically use NPI 1063829653 for STEPHEN ELLEDGE (P.A.).
Should I treat STEPHEN ELLEDGE (P.A.) as an active provider?
Patients and plans typically see STEPHEN ELLEDGE (P.A.) as active in the national extract.
Which specialty label fits STEPHEN ELLEDGE (P.A.)?
NPPES ties STEPHEN ELLEDGE (P.A.) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is STEPHEN ELLEDGE (P.A.) tied to Jbsa Lackland, Texas?
If you are local to Jbsa Lackland, Texas, STEPHEN ELLEDGE (P.A.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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