2026 NPPES data Plastic Surgery Physician NPI 1235485137 M.D.
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STEFANOS BOUKOVALAS, M.D.

Plastic Surgery Physician in KNOXVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
21
Medicare Part D claims · Plastic Surgery Physician avg: 84
MIPS score
95.6914/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$705.13
19 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: STEFANOS BOUKOVALAS, M.D. is a Plastic Surgery Physician ([object Object]) practicing in KNOXVILLE, Tennessee with a Medicare Part D prescribing footprint of 21 claims . Their CMS MIPS Final Score of 95.6914/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $705.13 across 19 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: STEFANOS BOUKOVALAS, M.D. reported a CMS MIPS final score of 95.6914 out of 100, above the 83.1 national average, and filed 21 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

STEFANOS BOUKOVALAS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

STEFANOS BOUKOVALAS, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/28/2012

NPI 1235485137

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

21 75% vs specialty avg

2023 prescription claims

Specialty avg: 84

MIPS final score

95.6914/100 12.591400000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Plastic Surgery Physician compares to other specialties among Tennessee providers

Tennessee providers

Plastic Surgery Physician share within Tennessee

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within Tennessee

Medicare quality performance — MIPS

STEFANOS BOUKOVALAS, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
95.6914/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Physician) — 95.6914/100 vs national avg 83.1

0%100%National avg83%95.7%
MIPS final score (Plastic Surgery Physician) — 95.6914/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

STEFANOS BOUKOVALAS, M.D. is a Plastic Surgery Physician provider practicing in KNOXVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1235485137. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

STEFANOS BOUKOVALAS, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 1934 ALCOA HWY STE D362, KNOXVILLE, TN, 37920, with a listed phone of (865) 305-4670. NPI 1235485137 was issued on 07/28/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOUKOVALAS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 21 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $267 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.6914/100 for the 2023 performance year (Quality 85.2885), compared with the national average of 83.1.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1934 ALCOA HWY STE D362
KNOXVILLE, TN 37920

Provider Details

NPI 1235485137
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/28/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.6914
Final Score
Avg: 83.1
85.2885
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where STEFANOS BOUKOVALAS, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY HEALTH SYSTEM, INC.
KNOXVILLE, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for STEFANOS BOUKOVALAS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$705

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

21
Total Claims
$267
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21
Total Day Supply
148
Generic Drug Cost
$256
Antibiotic Claims
11

Patient Demographics

Average Patient Age
61.2 years
Avg HCC Risk Score
1.43

Plastic Surgery Physician Overview

How STEFANOS BOUKOVALAS, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

STEFANOS BOUKOVALAS, M.D.'s 21 claims are below the specialty average of 84.

Nearby Plastic Surgery Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as BOUKOVALAS.

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEFANOS BOUKOVALAS, M.D.'s specialty?
STEFANOS BOUKOVALAS, M.D. specializes in Plastic Surgery Physician and practices in KNOXVILLE, Tennessee. Credentials: M.D..
How much does STEFANOS BOUKOVALAS, M.D. prescribe under Medicare Part D?
In 2023, STEFANOS BOUKOVALAS, M.D. wrote 21 Medicare Part D claims totaling $267 in drug costs for N/A beneficiaries.
What is STEFANOS BOUKOVALAS, M.D.'s Medicare quality score?
STEFANOS BOUKOVALAS, M.D. has a CMS MIPS Final Score of 95.6914/100 (Quality: 85.2885). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEFANOS BOUKOVALAS, M.D. located?
STEFANOS BOUKOVALAS, M.D. is located at 1934 ALCOA HWY STE D362, KNOXVILLE, TN, 37920. Phone: (865) 305-4670.
What is STEFANOS BOUKOVALAS, M.D.'s NPI number?
STEFANOS BOUKOVALAS, M.D.'s National Provider Identifier (NPI) is 1235485137, issued on 07/28/2012.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
Does STEFANOS BOUKOVALAS, M.D. accept Medicare?
STEFANOS BOUKOVALAS, M.D. appears in CMS Medicare data with 21 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEFANOS BOUKOVALAS, M.D.'s credentials?
STEFANOS BOUKOVALAS, M.D.'s NPI is 1235485137 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology