NPPES file of Aug 9, 2026

Stephen W. Ganshirt, M.D.

Surgery Physician · Lake Forest, IL

Stephen W. Ganshirt, M.D. is a surgery physician with a practice address in Lake Forest, Illinois, and NPI 1245200757, issued on Jan 25, 2006. Check the license (Illinois 036-088721, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1245200757
Name
Stephen W. Ganshirt
Credential
M.D.
Primary taxonomy
Surgery Physician 208600000X
License number
036-088721 IL
Self-reported in NPPES; status is on the state search
Practice location
800 N Westmoreland RD, Lake Forest, IL 60045
Phone
(847) 234-4310
Enumerated
Jan 25, 2006
Record last updated
Oct 3, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(847) 234-4336
Medicare enrollment
Enrolled (PECOS I20110120000174); accepts Medicare assignment
Medical or professional school
Loyola University Of Chicago, Stritch School Of Medicine, 1989
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 800 N Westmoreland RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Andrews, M.D.Colon & Rectal Surgery Physician1992775340
  2. Mariellen Antman, APN-CNPAdult Health Nurse Practitioner1235271941
  3. John Benge, MDCardiovascular Disease Physician1285628859
  4. Mark Blitstein, M.D.Specialist1922086560
  5. Scott Braunlich, M.D.Internal Medicine Physician1487638904
  6. Kristen Coleman, NPAdult Health Nurse Practitioner1376891549

Verify Stephen W. Ganshirt in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036-088721
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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81% fewer Medicare Part D claims than the average surgery physician in 2024

28 Medicare Part D claims for 16 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Stephen Ganshirt28
  2. Specialty average147

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Northwestern Medical Faculty FoundationLake Forest, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Stephen W. Ganshirt among 1,520 surgery physician records in Illinois

Stephen W. Ganshirt, M.D. is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 64% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated1989 · median 2004 among the 650 with a school on file
  • Record last updated2017 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgery Physician providers in Illinois

There are 1,520 surgery physician records in Illinois.

The 8 surgery physician records with the nearest ZIP codes

  1. Daniel Davila, M.D.Lake Forest, IL 600451558637124
  2. James Frydman, MDLake Forest, IL 600451104881218
  3. Heidi Memmel Mitidiero, MDLake Forest, IL 600451184679193
  4. Robert Ryan, M.D.Lake Forest, IL 600451437491396
  5. Kim Sobinsky, M.D.Lake Forest, IL 600451447220942
  6. You-Sah Kim, M.D.Lake Villa, IL 600461164548046
  7. Seema KumbhatLake Zurich, IL 600471013459742
  8. Gregory Skladzien, M.D.Kildeer, IL 600471578882932

Common questions

What is Stephen W. Ganshirt, M.D.'s NPI number?

Stephen W. Ganshirt, M.D.'s National Provider Identifier (NPI) is 1245200757, issued on Jan 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Stephen W. Ganshirt, M.D. located?

The NPPES record lists a practice address at 800 N Westmoreland RD, Lake Forest, IL, 60045. Phone: (847) 234-4310. Providers update this record themselves, so call before visiting.

How can I verify Stephen W. Ganshirt, M.D.'s license?

NPPES lists Illinois license number 036-088721, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Stephen W. Ganshirt, M.D. prescribe under Medicare Part D?

In 2024, Stephen W. Ganshirt, M.D. had 28 Medicare Part D claims for 16 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Stephen W. Ganshirt, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.