Stephen Robert Southworth, MD - Medicare Orthopedic Surgery in Tupelo, MS

Stephen Robert Southworth, MD is a medicare enrolled "Orthopaedic Surgery" physician in Tupelo, Mississippi. He went to Medical College Of Ohio and graduated in 1985 and has 39 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopaedic Institute Of North Mississippi, Llc and his current practice location is 499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-2663.

Stephen Robert Southworth is licensed to practice in Mississippi (license number 16972) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437120730.

Contact Information

Stephen Robert Southworth, MD
499 Gloster Creek Vlg Ste G1,
Tupelo, MS 38801-4751
(662) 377-2663
(662) 377-6706

Map and Direction




Physician's Profile

Full NameStephen Robert Southworth
GenderMale
SpecialityOrthopedic Surgery
Experience39 Years
Location499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephen Robert Southworth attended and graduated from Medical College Of Ohio in 1985
  NPI Data:
  • NPI Number: 1437120730
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 01/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789586561
  • Enrollment ID: I20100324000959

Medical Identifiers

Medical identifiers for Stephen Robert Southworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437120730NPI-NPPES
00123102MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 16972 (Mississippi)Secondary
207XX0004XOrthopaedic Surgery - Foot And Ankle Surgery 16972 (Mississippi)Secondary
207X00000XOrthopaedic Surgery 16972 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital
Tishomingo Health Services IncIuka, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopaedic Institute Of North Mississippi, Llc711391407811

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephen Robert Southworth allows following entities to bill medicare on his behalf.
Entity NameOrthopaedic Institute Of North Mississippi, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790755320
PECOS PAC ID: 7113914078
Enrollment ID: O20040430000679

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen Robert Southworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephen Robert Southworth, MD
499 Gloster Creek Vlg Ste G1,
Tupelo, MS 38801-4751

Ph: (662) 377-2663
Stephen Robert Southworth, MD
499 Gloster Creek Vlg Ste G1,
Tupelo, MS 38801-4751

Ph: (662) 377-2663

Reviews and Comments


Orthopaedic Surgery Doctors in Tupelo, MS

Dr. Jeremy Caleb Adams, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1211 S Gloster St Ste A, Tupelo, MS 38801
Phone: 662-767-4200    Fax: 662-767-4204
Eric Van Lewis, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 499 Gloster Creek Vlg Ste G1, Tupelo, MS 38801
Phone: 662-377-2663    Fax: 662-840-5856
Dr. Taylor Phillips Mathis, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1211 S Gloster St, Suite A, Tupelo, MS 38801
Phone: 662-767-4200    Fax: 662-767-4204
Mr. Richard D. Rainey, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1211 South Gloster, Suite A, Tupelo, MS 38801
Phone: 662-767-4200    Fax: 662-767-4204
Jeb Williams,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 499 S Gloster St Ste G1, Tupelo, MS 38801
Phone: 662-377-2663    
Dr. David Vecchione, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1211 S Gloster St Ste A, Tupelo, MS 38801
Phone: 662-767-4200    Fax: 662-767-4204
Dr. George Karl Van Osten Iii, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4381 South Eason Blvd., Suite 303, North Mississippi Sports Medicine And Orthopaedic Clini, Tupelo, MS 38801
Phone: 662-840-5747    Fax: 662-840-5856

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.