KEVIN M STARKWEATHER DNP
NPI 1275189565
Nurse Practitioner - Adult Health in Springfield, IL

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment
350 W CARPENTER ST, SPRINGFIELD, IL 62702(217) 528-7541(217) 525-1404 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2020, Aug 13, 2019 (2 updates tracked since 2019).

About Kevin M Starkweather Dnp NPPES

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

KEVIN M STARKWEATHER DNP (NPI 1275189565) is an individual adult health provider in Springfield, Illinois, licensed in Illinois (209019843) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275189565
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameKEVIN M STARKWEATHERCredential: DNP
Location Address350 W CARPENTER STSpringfield, IL 62702-4902
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Fax(217) 525-1404
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 13, 2019
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
NPI 1275189565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209019843
350 W CARPENTER ST, Springfield, IL 62702

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

Kevin M Starkweather Dnp 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 ID42541104
PECOS Enrollment IDI20191004000261
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 8

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.
6,840 services67 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.
318 services189 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.
197 services156 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.
188 services149 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.
160 services72 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.
65 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers95 claims281 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers39 claims64 services$1.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers242 claims242 services$176.94 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
6 suppliers12 claims12 services$188.26 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.

Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Massage Therapist
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Health Educator
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Dietitian, Registered
350 W CARPENTER ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
350 W CARPENTER ST
SPRINGFIELD, IL 62702

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 Starkweather's NPI number?

The NPI number for Kevin Starkweather is 1275189565. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Kevin Starkweather located?

Kevin Starkweather practices at 350 W Carpenter St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Kevin Starkweather's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kevin Starkweather enrolled in Medicare?

Yes. Kevin Starkweather 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.

Is Kevin Starkweather affiliated with any hospitals?

According to CMS data, Kevin Starkweather is affiliated with Memorial Medical Center, Taylorville Memorial Hospital, Carlinville Area Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Starkweather was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.