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DR. STEPHEN K TOADVINE MD
NPI 1356314199
Family Medicine in Cynthiana, KY

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
809 US HIGHWAY 27 S UNIT 102, CYNTHIANA, KY 41031(859) 234-4494(859) 234-4498 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, May 22, 2026 (2 updates tracked since 2026).

About Dr. Stephen K Toadvine Md NPPES

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

DR. STEPHEN K TOADVINE MD (NPI 1356314199) is an individual family medicine provider in Cynthiana, Kentucky, licensed in Kentucky (26037) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Harrison Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (1987).

NPPES Registry Identity

NPI1356314199
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN K TOADVINECredential: MD
Location Address809 US HIGHWAY 27 S UNIT 102Cynthiana, KY 41031-7099
Mailing Address809 Us Highway 27 S Unit 102Cynthiana, KY 41031-7099 · (859) 234-4494 · Fax (859) 234-4498
Phone(859) 234-4494
Fax(859) 234-4498
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1987
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1356314199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 26037
Definition
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.
809 US HIGHWAY 27 S UNIT 102, Cynthiana, KY 41031
Open in Google Maps ↗

Other Identifiers 1

Medicaid64260375KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen K Toadvine 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 ID5597675462
PECOS Enrollment IDI20050208000413
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Toadvine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harrison Memorial Hospital Inc
1.7 mi
Multi-Specialty
1210 KY HIGHWAY 36 E
Cynthiana, KY 41031
  • Reassigned Medicare billing, Kentucky enrollment
  • 81 clinicians in this Medicare group
NPI 1669615233 (859) 234-2300
Harrison Memorial Hospital
1.8 mi
Clinic/Center
1210 KY HIGHWAY 36 E
Cynthiana, KY 41031
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1386783868 (859) 234-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41031 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Stephen Toadvine's NPI number?

The NPI number for Stephen Toadvine is 1356314199. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Stephen Toadvine located?

Stephen Toadvine practices at 809 Us Highway 27 S Unit 102, Cynthiana, KY 41031. The listed phone number is (859) 234-4494.

What is Stephen Toadvine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Toadvine enrolled in Medicare?

Yes. Stephen Toadvine 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.

Which organizations bill Medicare for Stephen Toadvine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Toadvine reassigns Medicare benefits to 2 organizations: Harrison Memorial Hospital Inc (Cynthiana, KY) and Harrison Memorial Hospital (Cynthiana, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Toadvine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Toadvine accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephen Toadvine 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 Stephen Toadvine affiliated with any hospitals?

According to CMS data, Stephen Toadvine is affiliated with Harrison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Toadvine was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.