DR. ZACK R STEARNS M.D.
NPI 1912965682
Orthopaedic Surgery in Louisville, KY
NPI Status: Active since May 03, 2006
Contact Information
7926 PRESTON HWY
SUITE 103
LOUISVILLE, KY
ZIP 40219
Phone: (502) 645-4456
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About ZACK STEARNS
This page provides the complete NPI Profile along with additional information for Zack Stearns, a provider established in Louisville, Kentucky with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1912965682 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number 26811 (KY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1912965682
- Provider Name
- DR. ZACK R STEARNS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7926 PRESTON HWY SUITE 103 LOUISVILLE, KY 40219
- Location Phone
- (502) 645-4456
- Mailing Address
- 7926 PRESTON HWY SUITE 103 LOUISVILLE, KY 40219
- Mailing Phone
- (502) 645-4456
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-03-2006
- Last Update Date
- 04-27-2020
- 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
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 26811
- License State
- KY
- 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:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
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.
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 |
|---|---|---|---|
| 50101238 | OTHER (01) | KY | PASSPORT HEALTH PLAN |
| P01591073 | OTHER (01) | KY | RAILROAD MEDICARE |
| 64268113 | MEDICAID (05) | KY | |
| 100323960 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Zack Stearns 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 40219 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.24
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $16.56
- Minimum Established Patient Copayment $4.13
- 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.
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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 | 9 | 1 | 2 | 9 | 6 | 5 | 6 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 18 | 6 | 10 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 1 + 8 + 6 + 1 + 0 + 6 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1912965682 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1437159480 | KENTUCKY ORTHOPEDIC REHABILITATION LLC Organization | Clinic/Center (Physical Therapy) | 7926 PRESTON HWY SUITE 101 LOUISVILLE, KY 40219 (502) 964-5404 |
| 1598788069 | DR. SAMANTHA SHAVER DMD Individual | Dentist (General Practice) | 7926 PRESTON HWY SUITE 201 LOUISVILLE, KY 40219 (502) 968-1412 |
| 1609886035 | MRS. KRISTIN RHEA OLIVERIO PT Individual | Physical Therapist | 7926 PRESTON HWY LOUISVILLE, KY 40219 (502) 964-5404 |
| 1801972997 | MRS. CYNTHIA LYNNE CORY PT Individual | Physical Therapist (Orthopedic) | 7926 PRESTON HWY SUITE 101 LOUISVILLE, KY 40219 (502) 964-5404 |
| 1841439106 | KATLYN NICOLE ARTHUR Individual | Physical Therapist | 7926 PRESTON HWY SUITE 101 LOUISVILLE, KY 40219 (502) 964-5404 |
| 1093017311 | ALLIED HEALTHCARE PLLC Organization | Internal Medicine (Cardiovascular Disease) | 7926 PRESTON HWY SUITE 200 LOUISVILLE, KY 40219 (502) 213-9036 |
| 1902848062 | MR. JOHN K. GRAEHLER PT, OCS Individual | Physical Therapist (Orthopedic) | 7926 PRESTON HWY SUITE 101 LOUISVILLE, KY 40219 (502) 964-5404 |
| 1982852364 | MYRA GOLDMAN FNP-BC Individual | Nurse Practitioner (Family) | 7926 PRESTON HWY STE. 106 LOUISVILLE, KY 40219 (502) 964-4357 |
| 1801135983 | SARA KEI FLOWERS DPT Individual | Physical Therapist | 7926 PRESTON HWY STE 101 LOUISVILLE, KY 40219 (502) 964-5404 |
| 1730144296 | JAMES R CICCHIELLO MD Individual | General Practice | 7926 PRESTON HWY STE 210 LOUISVILLE, KY 40219 (502) 966-8675 |
| 1164785457 | DR. BENJAMIN MAURICE RISNER M.D. Individual | Family Medicine | 7926 PRESTON HWY SUITE 106 LOUISVILLE, KY 40219 (502) 964-4357 |
| 1376786962 | ANN E WALKER MD Individual | Family Medicine | 7926 PRESTON HWY SUITE 106 LOUISVILLE, KY 40219 (502) 964-4357 |
| 1134672611 | SAMANTHA SHAVER DMD PSC Organization | Dentist | 7926 PRESTON HWY SUITE 201 LOUISVILLE, KY 40219 (502) 968-1412 |
| 1811951825 | GEORGE P. SOTIROPOULOS MD Individual | Pediatrics | 7926 PRESTON HWY LOUISVILLE, KY 40219 (502) 964-4357 |
| 1467827931 | ZACK R STEARNS MD ORTHOPEDIC BONE & JOINT SPECIALISTS PLLC Organization | Orthopaedic Surgery | 7926 PRESTON HWY SUITE 103 LOUISVILLE, KY 40219 (502) 645-4456 |
| 1033651955 | THERABILITIES LLC Organization | Clinic/Center (Physical Therapy) | 7926 PRESTON HWY SUITE 103 LOUISVILLE, KY 40219 (502) 272-4700 |
| 1629033402 | JOSHUA N QUAYE MD Individual | Internal Medicine | 7926 PRESTON HWY STE 208 LOUISVILLE, KY 40219 (502) 968-3010 |
| 1891948170 | SUSAN M. BEACH ARNP, NP-C Individual | Nurse Practitioner | 7926 PRESTON HWY SUITE 106 LOUISVILLE, KY 40219 (502) 964-4357 |
| 1326049552 | RONALD D WEDDLE M.D. Individual | Family Medicine | 7926 PRESTON HWY STE. 106 LOUISVILLE, KY 40219 (502) 964-4357 |
| 1245295179 | LISA C CAMPISANO MD Individual | General Practice | 7926 PRESTON HWY SUITE 106 LOUISVILLE, KY 40219 (502) 964-4357 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912965682, enumerated in the NPI registry as an "individual" on May 03, 2006
The provider is located at 7926 Preston Hwy Suite 103 Louisville, Ky 40219 and the phone number is (502) 645-4456
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: CareSource, Medicare, Medicaid and Railroad. 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 $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $66.24 and an average copayment of 16.56. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 03, 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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