KRISTIN J STEVENSON MD
NPI 1265859581
Internal Medicine - Endocrinology, Diabetes & Metabolism in Madison, WI

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6595 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2022, Dec 12, 2020, Aug 12, 2019 and 3 more (6 updates tracked since 2017).

About Kristin J Stevenson Md NPPES

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

KRISTIN J STEVENSON MD (NPI 1265859581) is an individual endocrinology, diabetes & metabolism provider in Madison, Wisconsin, licensed in Wisconsin (64583-20) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265859581
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKRISTIN J STEVENSONCredential: MD
Location Address1821 S STOUGHTON RDMadison, WI 53716-2257
Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000 · Fax (608) 260-6595
Fax(608) 260-6595
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateJanuary 10, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1265859581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in WI · 64583-20
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1821 S STOUGHTON RD, Madison, WI 53716

Secondary Practice Locations 2

Location 1600 Highland AveMadison, WI 53792-3522 · Phone (608) 263-6400
Location 29200 W Wisconsin Ave, CLCC 5th FloorMilwaukee, WI 53226-3522 · Phone (414) 805-0509

Other Identifiers 1

Medicaid1265859581WI

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

Kristin J Stevenson 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 ID4385934272
PECOS Enrollment IDI20190820003360
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,680 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
251 services132 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
194 services119 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.
131 services117 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
99 services55 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
79 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521352
Location800 Compassion WayDodgeville, WI 53533 · Iowa County
Emergency services

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
10 suppliers43 claims527 services$18.64 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
9 suppliers41 claims1,275 services$2.34 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims16 services$178.24 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers52 claims290 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims44 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers35 claims35 services$306.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
1821 S STOUGHTON RD
MADISON, WI 53716
Allergy & Immunology
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Dietitian, Registered
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Speech-Language Pathologist
1821 S STOUGHTON RD
MADISON, WI 53716
Emergency Medicine
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716

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 Kristin Stevenson's NPI number?

The NPI number for Kristin Stevenson is 1265859581. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Kristin Stevenson located?

Kristin Stevenson practices at 1821 S Stoughton Rd, Madison, WI 53716. The listed phone number is (608) 260-6000.

What is Kristin Stevenson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kristin Stevenson enrolled in Medicare?

Yes. Kristin Stevenson 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 Kristin Stevenson accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Kristin 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.

Is Kristin Stevenson affiliated with any hospitals?

According to CMS data, Kristin Stevenson is affiliated with Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville, Columbus Community Hospital, Upland Hills Health and Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Kristin Stevenson was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.