DR. KEVIN M KAVANAUGH MD
NPI 1205889433
Internal Medicine - Interventional Cardiology in Spokane, WA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
122 W 7TH AVE, SUITE 310, SPOKANE, WA 99204(509) 838-7711(509) 747-4664 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2024, Dec 31, 2015 (2 updates tracked since 2015).

About Dr. Kevin M Kavanaugh Md NPPES

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

DR. KEVIN M KAVANAUGH MD (NPI 1205889433) is an individual interventional cardiology provider in Spokane, Washington, licensed in Washington (MD00031738) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1983).

NPPES Registry Identity

NPI1205889433
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. KEVIN M KAVANAUGHCredential: MD
Location Address122 W 7TH AVE, SUITE 310Spokane, WA 99204-2349
Mailing Address122 W 7th Ave, Suite 310Spokane, WA 99204-2349 · (509) 838-7711 · Fax (509) 747-4664
Fax(509) 747-4664
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1983
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
NPI 1205889433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in WA · MD00031738
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD31738 (WA), M-6627 (ID)
122 W 7TH AVE, Spokane, WA 99204

Other Identifiers 3

Medicaid003213300ID
OtherMD00031738WA · Washington License
OtherM6627ID · Idaho License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin M Kavanaugh Md 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 ID5698764744
PECOS Enrollment IDI20120124000763
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.

Areas of Expertise CMS Part B claims 30

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
498 services492 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
459 services390 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.
425 services366 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
248 services101 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.
234 services206 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
229 services95 patients

Hospital Affiliations CMS Care Compare 5

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Syringa General Hospital

Critical Access Hospitals · Grangeville, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131315
Location607 W Main StreetGrangeville, ID 83530 · Idaho County
Emergency services

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Surgery (Vascular Surgery)
122 W 7TH AVE, SUITE 420
SPOKANE, WA 99204
Internal Medicine (Cardiovascular Disease)
122 W 7TH AVE, SUITE 310
SPOKANE, WA 99204
Nurse Practitioner (Family)
122 W 7TH AVE, 450
SPOKANE, WA 99204
Internal Medicine (Clinical Cardiac Electrophysiology)
122 W 7TH AVE, SUITE 310
SPOKANE, WA 99204
Surgery (Vascular Surgery)
122 W 7TH AVE, 410 & 420
SPOKANE, WA 99204
Physician Assistant
122 W 7TH AVE, SUITE 450
SPOKANE, WA 99204
Internal Medicine (Interventional Cardiology)
122 W 7TH AVE, 450
SPOKANE, WA 99204
Internal Medicine (Cardiovascular Disease)
122 W 7TH AVE, SUITE 310
SPOKANE, WA 99204

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 Kevin Kavanaugh's NPI number?

The NPI number for Kevin Kavanaugh is 1205889433. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Kevin Kavanaugh located?

Kevin Kavanaugh practices at 122 W 7th Ave Suite 310, Spokane, WA 99204. The listed phone number is (509) 838-7711.

What is Kevin Kavanaugh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kevin Kavanaugh enrolled in Medicare?

Yes. Kevin Kavanaugh 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.

What insurance does Kevin Kavanaugh accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kevin Kavanaugh 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 Kevin Kavanaugh affiliated with any hospitals?

According to CMS data, Kevin Kavanaugh is affiliated with Kootenai Health, Syringa General Hospital, Clearwater Valley Hospital & Clinics, St Marys Hospital And Clinics and Gritman Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Kavanaugh was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.