KENNETH DEVAULT MD
NPI 1386633253
Internal Medicine - Gastroenterology in Charlottesville, VA

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 243-3090 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2025, Aug 13, 2025, Aug 28, 2020 and 1 more (4 updates tracked since 2017).

About Kenneth Devault Md NPPES

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

KENNETH DEVAULT MD (NPI 1386633253) is an individual gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0101280435) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Wake Forest University School Of Medicine (1986).

NPPES Registry Identity

NPI1386633253
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKENNETH DEVAULTCredential: MD
Location Address1215 LEE STCharlottesville, VA 22908-1865
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1986
Enumeration DateOctober 13, 2005
Last NPPES UpdateOctober 10, 20254 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1386633253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in VA · 0101280435
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1215 LEE ST, Charlottesville, VA 22908

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

Kenneth Devault 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 ID7618003526
PECOS Enrollment IDI20100330001203, I20250811000442
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 20

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
124 services124 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.
64 services54 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
57 services56 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.
55 services48 patients
Other diagnostic procedure for gastrointestine 91299
A diagnostic procedure for the gastrointestinal tract helps identify issues affecting your digestive system. This could involve tests like endoscopy, where a thin tube with a camera is used to view your digestive tract, or a biopsy, where a small tissue sample is taken for analysis.
44 services44 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Pharmacist
1215 LEE ST, UVA MEDICAL CENTER OUTPATIENT PHARMACY
CHARLOTTESVILLE, VA 22908
Radiology (Diagnostic Radiology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Devault's NPI number?

The NPI number for Kenneth Devault is 1386633253. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Kenneth Devault located?

Kenneth Devault practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 243-3090.

What is Kenneth Devault's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Devault enrolled in Medicare?

Yes. Kenneth Devault 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 Kenneth Devault affiliated with any hospitals?

According to CMS data, Kenneth Devault is affiliated with Mayo Clinic and University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Devault was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.