DR. STEPHEN DOWNER KICKLIGHTER M.D.
NPI 1063421345
Pediatrics - Neonatal-Perinatal Medicine in Raleigh, NC

Active since August 05, 2006PECOS Enrolled
3000 NEW BERN AVE, NEONATOLOGY DEPT., RALEIGH, NC 27610(919) 350-8545(919) 350-8146 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Stephen Downer Kicklighter M.d. NPPES

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

DR. STEPHEN DOWNER KICKLIGHTER M.D. (NPI 1063421345) is an individual neonatal-perinatal medicine provider in Raleigh, North Carolina, licensed in North Carolina (0099-00899) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063421345
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. STEPHEN DOWNER KICKLIGHTERCredential: M.D.
Location Address3000 NEW BERN AVE, NEONATOLOGY DEPT.Raleigh, NC 27610-1231
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Fax(919) 350-8146
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1063421345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NC · 0099-00899
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3000 NEW BERN AVE, Raleigh, NC 27610

Other Identifiers 1

Medicaid891209YNC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Downer Kicklighter M.d. 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 Billing Reassignments

2

Medicare enrollment records show Stephen Kicklighter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
Family Medicine
701 S MAIN ST
Lillington, NC 27546
  • Reassigned Medicare billing, North Carolina enrollment
  • 333 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.

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.

Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Anesthesiology
3000 NEW BERN AVE
RALEIGH, NC 27610

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 Kicklighter's NPI number?

The NPI number for Stephen Kicklighter is 1063421345. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Stephen Kicklighter located?

Stephen Kicklighter practices at 3000 New Bern Ave Neonatology Dept., Raleigh, NC 27610. The listed phone number is (919) 350-8545.

What is Stephen Kicklighter's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Stephen Kicklighter enrolled in Medicare?

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

Which organizations bill Medicare for Stephen Kicklighter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Kicklighter reassigns Medicare benefits to 2 organizations: Wakemed Specialists Group, LLC (Raleigh, NC) and Fhpg, LLC (Lillington, NC). 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 Stephen Kicklighter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Kicklighter accept?

Health plans from Cigna Healthcare list Stephen Kicklighter 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.

When was this NPI record last updated?

The NPPES record for Stephen Kicklighter was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.