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DR. STEPHEN M. KILLINGSWORTH MD
NPI 1013985969
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Russellville, AR

Active since March 08, 2006PECOS Enrolled
0/100
CMS Quality Rating
200 N QUANAH AVE, RUSSELLVILLE, AR 72801(479) 890-0368(479) 890-7368 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen M. Killingsworth Md NPPES

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

DR. STEPHEN M. KILLINGSWORTH MD (NPI 1013985969) is an individual otolaryngology/facial plastic surgery provider in Russellville, Arkansas, licensed in Arkansas (C6433) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013985969
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. STEPHEN M. KILLINGSWORTHCredential: MD
Location Address200 N QUANAH AVERussellville, AR 72801-2762
Mailing Address200 N Quanah AveRussellville, AR 72801-2762 · (479) 890-0368 · Fax (479) 890-7368
Phone(479) 890-0368
Fax(479) 890-7368
Sole ProprietorYes
Enumeration DateMarch 8, 2006
Last NPPES UpdateDecember 15, 2010
✔ NPI 1013985969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in AR · C6433
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
200 N QUANAH AVE, Russellville, AR 72801
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINB90345AR
Other52878AR · Arkansas Bcbs
Medicare ID-Type Unspecified52878AR
Medicaid105349001AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen M. Killingsworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 9

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

RUSSELLVILLE WOMEN'S CLINIC
Obstetrics & Gynecology
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 968-1011
EXCEPTIONAL HEARING LLC
Audiologist-Hearing Aid Fitter
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 968-7250
PALMER AUDIOLOGY, PLLC
Hearing Aid Equipment
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 968-7250
PULTRO & PALMER, P. A.
Audiologist-Hearing Aid Fitter
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 968-7250
DONALD DUNN M.D.
Obstetrics & Gynecology
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 968-1011
STEPHEN M. KILLINGSWORTH, MD, PA
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 890-0368
DR. CHARLES PALMER AU.D.
Audiologist
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 968-7250
EZECHIEL R. NEHUS, MD, PA
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
200 N QUANAH AVE
RUSSELLVILLE, AR 72801
Pope County (479) 890-0368

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 Stephen Killingsworth's NPI number?

The NPI number for Stephen Killingsworth is 1013985969. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Stephen Killingsworth located?

Stephen Killingsworth practices at 200 N Quanah Ave, Russellville, AR 72801. The listed phone number is (479) 890-0368.

What is Stephen Killingsworth's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Stephen Killingsworth enrolled in Medicare?

Yes. Stephen Killingsworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Killingsworth was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.