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KENNETH A EPSTEIN MD
NPI 1366415036
Internal Medicine - Rheumatology in Flagstaff, AZ

Active since February 10, 2006PECOS Enrolled
70.58/100
CMS Quality Rating
1338 W FOREST MEADOWS ST, SUITE 140, FLAGSTAFF, AZ 86001(928) 213-8631(928) 213-8632 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kenneth A Epstein Md NPPES

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

KENNETH A EPSTEIN MD (NPI 1366415036) is an individual rheumatology provider in Flagstaff, Arizona, licensed in Arizona (19589) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366415036
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameKENNETH A EPSTEINCredential: MD
Location Address1338 W FOREST MEADOWS ST, SUITE 140Flagstaff, AZ 86001-7218
Mailing Address1338 W Forest Meadows St, Suite 140Flagstaff, AZ 86001-7218 · (928) 213-8631 · Fax (928) 213-8632
Phone(928) 213-8631
Fax(928) 213-8632
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateFebruary 25, 2013
✔ NPI 1366415036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in AZ · 19589
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License 19589 (AZ)
1338 W FOREST MEADOWS ST, Flagstaff, AZ 86001
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified11WCHMN04
Medicare PINP00342410AZ
Medicare PINZ111164AZ
Medicare UPINE77524
Medicaid296964AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth A Epstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kenneth Epstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tuba City Regional Health Care Corporation
6.8 mi
Family Medicine
6300 N HIGHWAY 89
Flagstaff, AZ 86004
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1376773341 (928) 863-7333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAUREL A. STEINHAUS FNP-BC
Registered Nurse (General Practice)
1338 W FOREST MEADOWS ST, SUITE 140
FLAGSTAFF, AZ 86001
Coconino County (928) 213-8631

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 Kenneth Epstein's NPI number?

The NPI number for Kenneth Epstein is 1366415036. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Kenneth Epstein located?

Kenneth Epstein practices at 1338 W Forest Meadows St Suite 140, Flagstaff, AZ 86001. The listed phone number is (928) 213-8631.

What is Kenneth Epstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kenneth Epstein enrolled in Medicare?

Yes. Kenneth Epstein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Epstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Epstein reassigns Medicare benefits to Tuba City Regional Health Care Corporation (Flagstaff, AZ). The 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 Kenneth Epstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Epstein was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.