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DR. KENNETH EDWARD STEVENSON M.D.
NPI 1245326065
Pediatrics in Ogden, UT

Active since October 05, 2006PECOS Enrolled
5405 S 500 E STE 205, OGDEN, UT 84405(801) 479-0174(801) 479-8888 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2022, Nov 30, 2020 (2 updates tracked since 2020).

About Dr. Kenneth Edward Stevenson M.d. NPPES

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

DR. KENNETH EDWARD STEVENSON M.D. (NPI 1245326065) is an individual pediatrics provider in Ogden, Utah, licensed in Utah (378676-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1995).

NPPES Registry Identity

NPI1245326065
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KENNETH EDWARD STEVENSONCredential: M.D.
Location Address5405 S 500 E STE 205Ogden, UT 84405-7420
Mailing AddressPo Box 281721Atlanta, GA 30384-1721
Phone(801) 479-0174
Fax(801) 479-8888
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1995
Enumeration DateOctober 5, 2006
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1245326065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 378676-1205
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5405 S 500 E STE 205, Ogden, UT 84405
Open in Google Maps ↗

Other Identifiers 1

Medicaid1245326065UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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. Kenneth Edward Stevenson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173030178
PECOS Enrollment IDI20250725000126
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84405 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 4

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

KIM B. WEBB CPNP
Nurse Practitioner
5405 S 500 E STE 205
OGDEN, UT 84405
Weber County (801) 479-0174
ISABEL CRISTINA LAU MD
Pediatrics
5405 S 500 E STE 205
OGDEN, UT 84405
Weber County (801) 479-0174
ROBERT J NIELSEN MD
Pediatrics
5405 S 500 E STE 205
OGDEN, UT 84405
Weber County (801) 479-0174
MICHAEL E SEVERANCE PA-C
Physician Assistant
5405 S 500 E STE 205
OGDEN, UT 84405
Weber County (801) 479-0174

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 Kenneth Stevenson's NPI number?

The NPI number for Kenneth Stevenson is 1245326065. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kenneth Stevenson located?

Kenneth Stevenson practices at 5405 S 500 E Ste 205, Ogden, UT 84405. The listed phone number is (801) 479-0174.

What is Kenneth Stevenson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kenneth Stevenson enrolled in Medicare?

Yes. Kenneth Stevenson is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Stevenson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kenneth Stevenson 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 Kenneth Stevenson was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.