MR. KEVIN AUSTIN STEPHENS MD
NPI 1255414314
Family Medicine in Austin, TX
NPI Status: Active since October 23, 2006
Contact Information
4100 DUVAL ROAD
BLDG 2 STE 202
AUSTIN, TX
ZIP 78759
Phone: (512) 454-1123
Fax: (512) 454-1710
- Individual
- Male
- Years of Experience 33
- Family Medicine
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
- CLIA Number: 45D1101758
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-05-2025
About KEVIN STEPHENS
This page provides the complete NPI Profile along with additional information for Kevin Stephens, a primary care provider established in Austin, Texas with a medical specialization in Family Medicine and more than 33 years of experience. He graduated from University Of Arizona College Of Medicine in 1993. The healthcare provider is registered in the NPI registry with number 1255414314 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number J9820 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1255414314
- Provider Name
- MR. KEVIN AUSTIN STEPHENS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4100 DUVAL ROAD BLDG 2 STE 202 AUSTIN, TX 78759
- Location Phone
- (512) 454-1123
- Location Fax
- (512) 454-1710
- Mailing Address
- 4100 DUVAL ROAD BLDG 2 STE 202 AUSTIN, TX 78759
- Mailing Phone
- (512) 454-1123
- Mailing Fax
- (512) 454-1710
- Medical School Name
- UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
- Graduation Year
- 1993
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-23-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Kevin Stephens sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J9820
- License State
- TX
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 001388827006 | OTHER (01) | UHC | |
| G28274 | MEDICARE UPIN (02) | ||
| 129766 | OTHER (01) | AETNA | |
| 8885B6 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 06229 | OTHER (01) | CIGNA | |
| 0028HH | OTHER (01) | BCBS |
Medicare Participation & PECOS Enrollment Status
Kevin Stephens is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Kevin Stephens is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2567495039
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050914001415
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Annual depression screening, 15 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 30-39 minutes
Telephone medical discussion with physician, 21-30 minutes
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
This service was performed 39 times for 39 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 40 times for 40 patientsThis 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.
This service was performed 125 times for 54 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 15 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78759 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.03
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $22.25
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $101.65
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $25.41
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1101758
- Facility Type
- Physician Office
- Certificate Effective Date
- July 06, 2023
- Certificate Expiration Date
- July 05, 2025
- Laboratory Director
- KEVIN A. STEPHENS MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kevin Stephens to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 4 | 1 | 4 | 3 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 1 | 8 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 1 + 8 + 3 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1255414314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
MRS. CHARLOTTE BELLIS LICENSED MIDWIFE
Midwife
4100 DUVAL ROAD
BLDG 2 #101
AUSTIN, TX
ZIP 78759
PAUL C NADER MD
Internal Medicine
(Nephrology)
4100 DUVAL ROAD
BUILDING 4, SUITE 102
AUSTIN, TX
ZIP 78759
CATHRYN LISA GARNETT FNP
Nurse Practitioner
(Family)
4100 DUVAL ROAD
BLDG III SUITE 200
AUSTIN, TX
ZIP 78759
SAMANTHA YVONNE EVANS RN, CNM
Advanced Practice Midwife
4100 DUVAL ROAD
BLDG 2 #101
AUSTIN, TX
ZIP 78759
PSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC
Clinic/Center
(Ambulatory Surgical)
4100 DUVAL ROAD
BLDG 3 STE 100
AUSTIN, TX
ZIP 78759
MS. HEATHER HARPER RN, CLE, CBC
Registered Nurse
(Lactation Consultant)
4100 DUVAL ROAD
BLDG 2 #101
AUSTIN, TX
ZIP 78759
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255414314, enumerated as an "individual" on October 23, 2006.
The provider is located at 4100 DUVAL ROAD BLDG 2 STE 202 AUSTIN, TX 78759 and the phone number is (512) 454-1123.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: UnitedHealthcare, Medicare, Medicaid, Aetna, Cigna. Please consult your insurance carrier or call the provider to verify.
