STEPHEN COLE GAUTHIER MD
NPI 1134171648
Plastic Surgery in Oklahoma City, OK
NPI Status: Active since May 16, 2006
Contact Information
6516 N OLIE AVE
SUITE E
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 286-5606
Fax: (405) 286-5607
- Individual
- Male
- Plastic Surgery
- Accepts Insurance
- PECOS Enrolled
About STEPHEN GAUTHIER
This page provides the complete NPI Profile along with additional information for Stephen Gauthier, a provider established in Oklahoma City, Oklahoma with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1134171648 assigned on May 2006. The practitioner's primary taxonomy code is 208200000X with license number 21236 (OK). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1134171648
- Provider Name
- STEPHEN COLE GAUTHIER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6516 N OLIE AVE SUITE E OKLAHOMA CITY, OK 73116
- Location Phone
- (405) 286-5606
- Location Fax
- (405) 286-5607
- Mailing Address
- 6516 N OLIE AVE SUITE E OKLAHOMA CITY, OK 73116
- Mailing Phone
- (405) 286-5606
- Mailing Fax
- (405) 286-5607
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-16-2006
- Last Update Date
- 02-25-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21236
- License State
- OK
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Standard - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Stephen Gauthier is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 73116 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.46
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $20.61
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 7 | 1 | 6 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 7 | 2 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 7 + 2 + 6 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1134171648 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790785657 | ACS MEDICAL LLC Organization | Durable Medical Equipment & Medical Supplies | 6516 N OLIE AVE STE A OKLAHOMA CITY, OK 73116 (405) 879-1800 |
| 1780812131 | DR. DUSTIN EUGENE SCHMIDT D.C. Individual | Chiropractor | 6516 N OLIE AVE SUITE D OKLAHOMA CITY, OK 73116 (405) 509-7017 |
| 1700014149 | BALANCED WELLNESS CHIROPRACTIC PHYSICIANS, PLLC Organization | Chiropractor | 6516 N OLIE AVE SUITE D OKLAHOMA CITY, OK 73116 (405) 509-7017 |
| 1225068521 | STEPHEN C. GAUTHIER M.D. PC Organization | Plastic Surgery | 6516 N OLIE AVE SUITE E OKLAHOMA CITY, OK 73116 (405) 286-5606 |
| 1649430810 | MRS. LATISHA DAWN HEINLEN MD Individual | Internal Medicine (Rheumatology) | 6516 N OLIE AVE OKLAHOMA CITY, OK 73116 (405) 608-8060 |
| 1366183592 | PAUL WEGER Individual | Nurse Practitioner (Family) | 6516 N OLIE AVE OKLAHOMA CITY, OK 73116 (405) 608-8060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134171648, enumerated in the NPI registry as an "individual" on May 16, 2006
The provider is located at 6516 N Olie Ave Suite E Oklahoma City, Ok 73116 and the phone number is (405) 286-5606
The provider's speciality is Plastic Surgery with taxonomy code 208200000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.46 with an average copayment of $20.61 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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