Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KEVAN M STERNBERG M.D.
NPI 1003078932
Urology in Saint Albans, VT

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
133 FAIRFIELD ST, SAINT ALBANS, VT 05478(802) 524-0719 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, May 31, 2023 (2 updates tracked since 2023).

About Mr. Kevan M Sternberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVAN M STERNBERG M.D. (NPI 1003078932) is an individual urology provider in Saint Albans, Vermont, licensed in Vermont (042.0012522) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1003078932
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMR. KEVAN M STERNBERGCredential: M.D.
Location Address133 FAIRFIELD STSaint Albans, VT 05478-1726
Mailing Address113 Fairfield StreetSt Albans, VT 05476
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 1, 2008
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1003078932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VT · 042.0012522
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
133 FAIRFIELD ST, Saint Albans, VT 05478

Other Identifiers 2

Medicaid031395C8NY
Medicaid1021019VT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevan M Sternberg M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284786518
PECOS Enrollment IDI20121109000244
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kevan Sternberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
133 FAIRFIELD ST
Saint Albans, VT 05478
  • Reassigned Medicare billing, Vermont enrollment
  • 184 clinicians in this Medicare group
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • 562 clinicians in this Medicare group
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
193 services154 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This 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.
59 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
37 services37 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
35 services15 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
29 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers19 claims2,662 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
5 suppliers32 claims8,170 services$6.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Emergency Medicine
133 FAIRFIELD ST, NORTHWESTERN MEDICAL CENTER
SAINT ALBANS, VT 05478
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Physical Therapist
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
ST ALBANS, VT 05478
Obstetrics & Gynecology
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
General Acute Care Hospital
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Student in an Organized Health Care Education/Training Program
133 FAIRFIELD ST
SAINT ALBANS, VT 05478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevan Sternberg's NPI number?

The NPI number for Kevan Sternberg is 1003078932. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Kevan Sternberg located?

Kevan Sternberg practices at 133 Fairfield St, Saint Albans, VT 05478. The listed phone number is (802) 524-0719.

What is Kevan Sternberg's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kevan Sternberg enrolled in Medicare?

Yes. Kevan Sternberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevan Sternberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevan Sternberg reassigns Medicare benefits to 4 organizations: Northwestern Medical Center Inc (Saint Albans, VT), University Of Vermont Medical Center Inc (Burlington, VT), Central Vermont Medical Center Inc (Berlin, VT) and Umass Memorial Medical Group Inc (Worcester, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevan Sternberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevan Sternberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevan Sternberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevan Sternberg affiliated with any hospitals?

According to CMS data, Kevan Sternberg is affiliated with Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Kevan Sternberg was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.