DR. MICHAEL STEFL MD
NPI 1275943334
Orthopaedic Surgery in Ames, IA

NPI Status: Active since April 29, 2014

Contact Information

1215 DUFF AVE
AMES, IA
ZIP 50010
Phone: (515) 239-4475

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  • Individual
  • Male
  • Years of Experience 13
  • Orthopaedic Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL STEFL

This page provides the complete NPI Profile along with additional information for Michael Stefl, a provider established in Ames, Iowa with a medical specialization in Orthopaedic Surgery and more than 13 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1275943334 assigned on April 2014. The practitioner's primary taxonomy code is 207X00000X with license number 46357 (IA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1275943334
Provider Name
DR. MICHAEL STEFL MD
Gender
Male
Entity Type
Individual
Location Address
1215 DUFF AVE AMES, IA 50010
Location Phone
(515) 239-4475
Mailing Address
1215 DUFF AVE AMES, IA 50010
Mailing Phone
(515) 239-4400
Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
04-29-2014
Last Update Date
02-24-2021
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
46357
License State
IA
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michael Stefl is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Michael Stefl 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

  • PECOS PAC ID: 9638434657

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190817000185

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)

    2 DME suppliers used 26 Medicare Claims 26 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 339 times for 180 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 488 times for 409 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 181 times for 168 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 137 times for 136 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 11 times for 11 patients

Hip replacement

A hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.

This service was performed for 124 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

This service was performed 38 times for 25 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 3,104 times for 160 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 19 times for 18 patients

Knee replacement

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

This service was performed for 147 patients

Measurement c-reactive protein for detection of infection or inflammation

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

This service was performed 13 times for 11 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 138 times for 138 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 46 times for 46 patients

Red blood cell sedimentation rate, to detect inflammation, non-automated

The Red Blood Cell Sedimentation Rate test measures how quickly red blood cells settle at the bottom of a test tube. If they settle faster than normal, it may indicate inflammation in the body. This test is non-automated, meaning it's manually performed by a lab technician.

This service was performed 13 times for 11 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 96 times for 91 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 89 times for 89 patients

Screening test for pathogenic organisms

A screening test for pathogenic organisms is a routine check-up procedure. It helps to identify harmful microorganisms in your body that can cause diseases. This involves collecting a sample like blood, saliva, or tissue, which is then examined in a lab for signs of these organisms.

This service was performed 14 times for 14 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

This service was performed 17 times for 17 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.46 for a new patient copayment and $16.59 for an established patient copayment.

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 50010 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.84
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $20.46
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Stefl is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MARY GREELEY MEDICAL CENTER1111 DUFF AVENUE
AMES, IA 50010
(515) 239-2011Acute Care Hospitals
GREENE COUNTY MEDICAL CENTER1000 WEST LINCOLN WAY
JEFFERSON, IA 50129
(515) 386-2114Critical Access Hospitals
STEWART MEMORIAL COMMUNITY HOSPITAL1301 WEST MAIN STREET
LAKE CITY, IA 51449
(712) 464-3171Critical Access Hospitals
BOONE COUNTY HOSPITAL1015 UNION STREET
BOONE, IA 50036
(515) 432-3140Critical Access Hospitals

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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.
1275943334
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145184636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 4 + 6 + 3 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1275943334 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285622274DR. JON LEE FLEMING M.D.
Individual
Internal Medicine (Gastroenterology)1215 DUFF AVE
AMES, IA 50010
(515) 239-4450
1942298856DR. JAMES DENNIS GOHMAN M.D.
Individual
Internal Medicine1215 DUFF AVE
AMES, IA 50010
(515) 239-4432
1265421549DR. CLIFFORD PAUL GRYTE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1215 DUFF AVE
AMES, IA 50010
(515) 239-4448
1801877204DR. THOMAS EDWIN SMITH JR. M.D.
Individual
Otolaryngology1215 DUFF AVE
AMES, IA 50010
(515) 239-4480
1184605560DR. JOHN DEE SHIERHOLZ M.D.
Individual
Radiology (Diagnostic Radiology)1215 DUFF AVE
AMES, IA 50010
(515) 239-4456
1649251075DR. PAUL DAVID SOSNOUSKI M.D.
Individual
Internal Medicine1215 DUFF AVE
AMES, IA 50010
(515) 239-4431
1053353300DR. JUSTIN WADE RASH PHARMD
Individual
Pharmacist1215 DUFF AVE
AMES, IA 50010
(515) 232-7315
1003832536 MARK R. MORRIS PA-C
Individual
Physician Assistant (Medical)1215 DUFF AVE MCFARLAND CLINIC, PC
AMES, IA 50010
(515) 239-4496
1790927473 JAMES BARRETT PT
Individual
Physical Therapist1215 DUFF AVE
AMES, IA 50010
(515) 956-4095
1831429273DR. TERESA LYNN KELLEY PHARMD
Individual
Pharmacist1215 DUFF AVE HY-VEE PHARMACY
AMES, IA 50010
(515) 232-7315
1982923611 CHRISTINA TJEPKES PT, DPT
Individual
Physical Therapist1215 DUFF AVE
AMES, IA 50010
(515) 956-4095
1366439796 PETER GOODRICH BUCK M.D.
Individual
Orthopaedic Surgery1215 DUFF AVE
AMES, IA 50010
(515) 239-4475
1578551644DR. KATHLEEN JANE FOSTER-WENDEL M.D.
Individual
Pediatrics1215 DUFF AVE
AMES, IA 50010
(515) 239-4404
1598756587DR. LEO ANTHONY MILLEMAN M.D.
Individual
Urology1215 DUFF AVE
AMES, IA 50010
(515) 239-4490
1861483372DR. JACK TRACY SWANSON M.D.
Individual
Pediatrics1215 DUFF AVE
AMES, IA 50010
(515) 239-4404
1821186925 JODI A. GOLDSBERRY MD
Individual
Internal Medicine1215 DUFF AVE
AMES, IA 50010
(515) 239-4431
1962490284MS. ALLISON J ENESS PA-C
Individual
Physician Assistant (Surgical)1215 DUFF AVE
AMES, IA 50010
(515) 239-4725
1588645923DR. TYLER C. THOEN MD
Individual
Internal Medicine1215 DUFF AVE
AMES, IA 50010
(515) 239-4431
1487636627DR. RUSSELL L. WILSON M.D.
Individual
Radiology (Diagnostic Radiology)1215 DUFF AVE
AMES, IA 50010
(515) 239-4456
1265437081DR. RICHARD L. GLENN JR. D.O.
Individual
Hospitalist1215 DUFF AVE
AMES, IA 50010
(515) 239-6992

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275943334, enumerated in the NPI registry as an "individual" on April 29, 2014

The provider is located at 1215 Duff Ave Ames, Ia 50010 and the phone number is (515) 239-4475

The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X

The provider has more than 13 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2013.

The provider might be accepting Accepts: Medica and Wellmark Health Plan of Iowa, Inc.. 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 $81.84 with an average copayment of $20.46 for new patient appointments. Established patients should expect a typical charge of $66.36 and an average copayment of 16.59. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Hip replacement, Hyaluronan or derivative, monovisc, for intra-articular injection, per dose, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Insertion of needle into vein for collection of blood sample, Knee replacement, Measurement c-reactive protein for detection of infection or inflammation, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Red blood cell sedimentation rate, to detect inflammation, non-automated, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, Screening test for pathogenic organisms and Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement.

The practitioner is affiliated to the following hospital(s): MARY GREELEY MEDICAL CENTER, GREENE COUNTY MEDICAL CENTER, STEWART MEMORIAL COMMUNITY HOSPITAL and BOONE COUNTY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 29, 2014. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.