DOUGLAS P STEVENS M.D.
NPI 1285608471
Physical Medicine & Rehabilitation in Louisville, KY
NPI Status: Active since February 14, 2006
Contact Information
800 ZORN AVE
LOUISVILLE, KY
ZIP 40206
Phone: (502) 287-5105
Fax: (502) 287-6964
- Individual
- Male
- Years of Experience 39
- Physical Medicine & Rehabilitation
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DOUGLAS STEVENS
This page provides the complete NPI Profile along with additional information for Douglas Stevens, a provider established in Louisville, Kentucky with a medical specialization in Physical Medicine & Rehabilitation and more than 39 years of experience. He graduated from University Of Louisville School Of Medicine in 1987. The healthcare provider is registered in the NPI registry with number 1285608471 assigned on February 2006. The practitioner's primary taxonomy code is 208100000X with license number 26201 (KY). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1285608471
- Provider Name
- DOUGLAS P STEVENS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 800 ZORN AVE LOUISVILLE, KY 40206
- Location Phone
- (502) 287-5105
- Location Fax
- (502) 287-6964
- Mailing Address
- 800 ZORN AVE LOUISVILLE, KY 40206
- Mailing Phone
- (502) 287-5105
- Mailing Fax
- (502) 287-6964
- Medical School Name
- UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-14-2006
- Last Update Date
- 03-17-2014
- Code Navigator
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
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 26201
- License State
- KY
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP HI Bronze 6000/65 Plus CAM - HMO
- KP HI Gold 0/40 Plus CAM - HMO
- KP HI Gold 1000 Ded/250 Rx Ded - HMO
- KP HI Platinum 0/5 Plus CAM - HMO
- KP HI Silver 3000 Ded/600 Rx Ded Plus CAM - HMO
- KP HI Silver 4000 Ded/600 Rx Ded - HMO
- KP HI Standard Bronze 7500/50 - HMO
- KP HI Standard Gold 2000/30 - HMO
- KP HI Standard Platinum 0/10 - HMO
- KP HI Standard Silver 6000/40 - 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.
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 |
|---|---|---|---|
| 004333 | OTHER (01) | KY | SIHO-NORTON REHAB |
| 1404235 | OTHER (01) | KY | CIGNA-NORTON REHAB |
| 200024170 | MEDICAID (05) | IN | |
| 1050653 | OTHER (01) | KY | PASSPORT |
| 2432934000 | OTHER (01) | KY | PASSPORT ADVANTAGE |
| M400053478 | OTHER (01) | IN | MEDICARE PTAN- NORTON REHAB. |
| 0078109 | MEDICARE ID-TYPE UNSPECIFIED (04) | KY | KY MEDICARE |
| 000000694447 | OTHER (01) | KY | ANTHEM-NORTON REHAB |
| 243960G | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | IN MEDICARE |
| 000000048654 | OTHER (01) | KY | ANTHEM |
| E01371 | MEDICARE UPIN (02) | KY | |
| 50031672 | OTHER (01) | KY | PASSPORT-NORTON REHAB |
| 000057094L | OTHER (01) | KY | HUMANA- NORTON REHAB |
| P00912405 | OTHER (01) | KY | RR MEDICARE PTAN-NORTON REHAB |
| 61-1086535 | OTHER (01) | KY | TAX ID |
| P400040042 | OTHER (01) | KY | KY MEDICARE-NORTON REHAB |
| 64262017 | MEDICAID (05) | KY |
Medicare Participation & PECOS Enrollment Status
Douglas Stevens is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Douglas Stevens 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: 1557345998
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: I20221114002614
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? Yes
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
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285608471, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOUISVILLE, KY 40206
LOUISVILLE, KY 40206
LOUISVILLE, KY 40206
LOUISVILLE, KY 40206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285608471, enumerated as an "individual" on February 14, 2006.
The provider is located at 800 ZORN AVE LOUISVILLE, KY 40206 and the phone number is (502) 287-5105.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
The provider might be accepting Accepts: Kaiser Permanente, Medicare, Medicaid, Cigna,. Please consult your insurance carrier or call the provider to verify.
