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

Q: 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.

Q: What is Kevin Kavanaugh's specialty?

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

Q: 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 15 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.

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: November 08, 2026.

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

On this page

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 maintains 2 additional practice locations.

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

Phone(509) 838-7711

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

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Secondary Practice Locations 2

Location 1415 6TH STLewiston, ID 83501 · Phone (208) 750-7507

Location 2700 W Ironwood Dr Ste 350Coeur D Alene, ID 83814-4487 · Phone (208) 625-5250 · Fax (208) 625-5251

Other Identifiers 3

Medicaid003213300ID

OtherMD00031738WA · Washington License

OtherM6627ID · Idaho License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Molina Healthcare and more.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

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.

Medicare Billing Reassignments

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

Kootenai Health, Inc.

29 mi

Psychiatry

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
472 clinicians in this Medicare group

NPI 1174661151 (208) 625-4000

Kootenai Health, Inc.

29 mi

Psychiatry

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
301 clinicians in this Medicare group

NPI 1174661151 (208) 625-4000

St Joseph Hospital LLC

87 mi

Internal Medicine

415 6TH STREET, PHYSICIAN SERVICES
Lewiston, ID 83501

Reassigned Medicare billing, Idaho enrollment
164 clinicians in this Medicare group

NPI 1205368404 (208) 750-7462

Boundary Community Hospital

88 mi

Emergency Medical Services

6640 KANIKSU ST
Bonners Ferry, ID 83805

Reassigned Medicare billing, Idaho enrollment
83 clinicians in this Medicare group

NPI 1679621098 (208) 267-4850

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 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

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

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

111 services109 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

87 services86 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

86 services56 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

71 services66 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

66 services66 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

65 services64 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

60 services56 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

53 services51 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

50 services47 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

48 services43 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

45 services18 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

43 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

36 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services35 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

31 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services26 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

25 services25 patients

Programming of dual lead pacemaker system 93280

25 services19 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

23 services21 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.

16 services16 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

12 services12 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

11 services11 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.

DR. RYAN D. NACHREINER M.D.

Surgery (Vascular Surgery)

122 W 7TH AVE, SUITE 420
SPOKANE, WA 99204

Spokane County (509) 626-9440

DR. MICHAEL P WILLIAMS MD

Internal Medicine (Cardiovascular Disease)

122 W 7TH AVE, SUITE 310
SPOKANE, WA 99204

Spokane County (509) 838-7711

LORI D TAYLOR ARNP

Nurse Practitioner (Family)

122 W 7TH AVE, 450
SPOKANE, WA 99204

Spokane County (509) 455-8820

DR. TIMOTHY J LESSMEIER MD

Internal Medicine (Clinical Cardiac Electrophysiology)

122 W 7TH AVE, SUITE 310
SPOKANE, WA 99204

Spokane County (509) 838-7711

MARY KATHLEEN REILLY MD

Surgery (Vascular Surgery)

122 W 7TH AVE, 410 & 420
SPOKANE, WA 99204

Spokane County (509) 838-8286

BRANDY JANE MANCHESTER PA

Physician Assistant

122 W 7TH AVE, SUITE 450
SPOKANE, WA 99204

Spokane County (509) 838-2960

PIERRE P LEIMGRUBER MD, FACC

Internal Medicine (Interventional Cardiology)

122 W 7TH AVE, 450
SPOKANE, WA 99204

Spokane County (509) 455-8820

DR. L. DOUGLAS WAGGONER JR. MD

Internal Medicine (Cardiovascular Disease)

122 W 7TH AVE, SUITE 310
SPOKANE, WA 99204

Spokane County (509) 838-7711

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.

Which organizations bill Medicare for Kevin Kavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kavanaugh reassigns Medicare benefits to 4 organizations: Kootenai Health, Inc. (Coeur D Alene, ID), Kootenai Health, Inc. (Coeur D Alene, ID), St Joseph Hospital LLC (Lewiston, ID) and Boundary Community Hospital (Bonners Ferry, ID). 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 Kevin Kavanaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Kavanaugh accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Molina Healthcare, Premera Blue Cross Blue Shield of Alaska and Select Health 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 15 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.