DR. STEPHEN IVOR ESSES M.D.
NPI 1760489595
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Houston, TX
NPI Status: Active since July 07, 2005
Contact Information
6560 FANNIN ST
SUITE 1016
HOUSTON, TX
ZIP 77030
Phone: (713) 333-4110
Fax: (713) 333-4111
- Individual
- Male
- Years of Experience 48
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About STEPHEN ESSES
This page provides the complete NPI Profile along with additional information for Stephen Esses, a provider established in Houston, Texas with a medical specialization in Orthopaedic Surgery, focusing in orthopaedic surgery of the spine and more than 48 years of experience. The healthcare provider is registered in the NPI registry with number 1760489595 assigned on July 2005. The practitioner's primary taxonomy code is 207XS0117X with license number J1656 (TX). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1760489595
- Provider Name
- DR. STEPHEN IVOR ESSES M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6560 FANNIN ST SUITE 1016 HOUSTON, TX 77030
- Location Phone
- (713) 333-4110
- Location Fax
- (713) 333-4111
- Mailing Address
- 6560 FANNIN ST STE 1016 HOUSTON, TX 77030
- Mailing Phone
- (713) 333-4110
- Mailing Fax
- (713) 333-4111
- Medical School Name
- OTHER
- Graduation Year
- 1978
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2005
- Last Update Date
- 03-07-2020
- 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
Orthopaedic Surgery Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J1656
- License State
- TX
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1149585-05 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
Stephen Esses 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.
Stephen Esses 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: 1153389747
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: I20041229000560
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.
Orthotic Devices
DME-Orthotic Devices (DF007N)
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise (HCPCS:L0637)
2 DME suppliers used 13 Medicare Claims 13 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.
Established patient office or other outpatient visit, 20-29 minutes
Laminectomy or laminotomy (partial removal of spine bones)
New patient office or other outpatient visit, 30-44 minutes
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
Spinal fusion
X-ray lower and sacral spine, minimum of 6 views
X-ray of lower and sacral spine, 2-3 views
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 214 times for 123 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 39 patientsThis 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 96 times for 96 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 27 times for 27 patientsThis procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
This service was performed 57 times for 27 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 11 patientsAn X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
This service was performed 35 times for 33 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 38 times for 32 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Closing the Referral Loop: Receipt of Specialist Report | 14% | 320 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
| Documentation of Current Medications in the Medical Record | 94% | 4799 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 96% | 562 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 38% | 211 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 96% | 1600 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 82% | 2346 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 14% | 2145 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 70% | 1047 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 93% | 2346 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 49% | 2346 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
| Use of High-Risk Medications in the Elderly | 6% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 291 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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. Stephen Esses is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP WEST HOUSTON, TX 77008 | (713) 448-6796 | Acute Care Hospitals | |
| HCA HOUSTON HEALTHCARE PEARLAND | 11100 SHADOW CREEK PARKWAY PEARLAND, TX 77584 | (713) 770-7000 | Acute Care Hospitals | |
| TOWNSEN MEMORIAL HOSPITAL | 1475 FM 1960 BYPASS E HUMBLE, TX 77338 | (281) 369-9001 | Acute Care 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. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 8 | 9 | 5 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 8 | 18 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 8 + 1 + 8 + 5 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1760489595 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1346245636 | HERBERT ISAAC DORFAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 6560 FANNIN ST STE 1616 HOUSTON, TX 77030 (713) 795-0515 |
| 1619972692 | DOLON C. DAS MD Individual | Internal Medicine (Nephrology) | 6560 FANNIN ST SUITE 1532 HOUSTON, TX 77030 (713) 795-5005 |
| 1164427746 | JAMES M PARRISH P.A. Individual | Physician Assistant (Medical) | 6560 FANNIN ST STE 1824 HOUSTON, TX 77030 (713) 521-2825 |
| 1790781961 | KAREN WOODS MD Individual | Internal Medicine (Gastroenterology) | 6560 FANNIN ST STE 2000 HOUSTON, TX 77030 (713) 383-7800 |
| 1104823483 | SRINIVASACHARI VATSALA MD Individual | Obstetrics & Gynecology | 6560 FANNIN ST STE 1840 HOUSTON, TX 77030 (713) 799-2050 |
| 1952309577 | DR. MICHAEL GREGORY KALDIS M.D. Individual | Orthopaedic Surgery | 6560 FANNIN ST SUITE 1016 HOUSTON, TX 77030 (713) 333-4120 |
| 1306844659 | DR. VLADIMIR REDKO M.D. Individual | Specialist | 6560 FANNIN ST SUITE 2020 HOUSTON, TX 77030 (713) 790-1400 |
| 1427058197 | FONTEYN BECK PA-C Individual | Physician Assistant (Surgical) | 6560 FANNIN ST STE 1402 HOUSTON, TX 77030 (713) 790-5227 |
| 1164415170 | ALFONSO ALDAMA MD Individual | Neurological Surgery | 6560 FANNIN ST 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1174516116 | RICHARD LOUIS HARPER I MD Individual | Neurological Surgery | 6560 FANNIN ST SUITE 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1043203987 | DR. WILLIAM HYPES OBENOUR JR. M.D. Individual | Internal Medicine | 6560 FANNIN ST SUITE 1112 HOUSTON, TX 77030 (713) 790-1541 |
| 1548254667 | DAVID CECH MD Individual | Neurological Surgery | 6560 FANNIN ST SUITE 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1457345571 | WARREN PARKER MD Individual | Neurological Surgery | 6560 FANNIN ST SUITE 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1154315166 | BRIAN C POWERS MD Individual | Urology | 6560 FANNIN ST SUITE 2030 HOUSTON, TX 77030 (713) 790-9779 |
| 1063406072 | JOHN DAVID WRIGHT MD Individual | Urology | 6560 FANNIN ST STE 1270 HOUSTON, TX 77030 (713) 790-9779 |
| 1821082785 | MS. LINDA B MEASON RN Individual | Registered Nurse (Otorhinolaryngology & Head-Neck) | 6560 FANNIN ST STE 704 HOUSTON, TX 77030 (713) 532-3223 |
| 1851385629 | DAVID ROBERT WIEMER MD Individual | Plastic Surgery | 6560 FANNIN ST #1760 HOUSTON, TX 77030 (713) 795-5584 |
| 1346238268 | GUILLERMO JUAN MORELL MD Individual | Internal Medicine (Nephrology) | 6560 FANNIN ST SUITE 1532 HOUSTON, TX 77030 (713) 796-0800 |
| 1679562037 | SHEPPY J. SILVERMAN M.D. Individual | Ophthalmology | 6560 FANNIN ST SUITE 2200 HOUSTON, TX 77030 (713) 798-3880 |
| 1932180791 | DR. STEVAN LAWRENCE DINERSTEIN M.D. Individual | Internal Medicine (Nephrology) | 6560 FANNIN ST SUITE 2204 HOUSTON, TX 77030 (713) 793-7550 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760489595, enumerated in the NPI registry as an "individual" on July 07, 2005
The provider is located at 6560 Fannin St Suite 1016 Houston, Tx 77030 and the phone number is (713) 333-4110
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XS0117X with a focus in Orthopaedic Surgery of the Spine
The provider has more than 48 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. 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.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 30-44 minutes, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment, Spinal fusion, X-ray lower and sacral spine, minimum of 6 views and X-ray of lower and sacral spine, 2-3 views.
The practitioner is affiliated to the following hospital(s): MEMORIAL HERMANN HOSPITAL SYSTEM, HCA HOUSTON HEALTHCARE PEARLAND and TOWNSEN MEMORIAL 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 July 07, 2005. 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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