STEPHEN E KIRKBY M.D.
NPI 1437201100
Pediatrics - Pediatric Pulmonology in Columbus, OH

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
555 S 18TH ST, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2025, Jan 2, 2025, Sep 10, 2024 and 3 more (6 updates tracked since 2016).

About Stephen E Kirkby M.d. NPPES

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

STEPHEN E KIRKBY M.D. (NPI 1437201100) is an individual pediatric pulmonology provider in Columbus, Ohio, licensed in Ohio (35082407) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1437201100
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameSTEPHEN E KIRKBYCredential: M.D.
Location Address555 S 18TH STColumbus, OH 43205-2654
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7677 · Fax (614) 293-1456
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2001
Enumeration DateJanuary 16, 2007
Last NPPES UpdateFebruary 26, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
NPI 1437201100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License Licensed in OH · 35082407
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35082407 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35082407 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35082407 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 35082407 (OH)
555 S 18TH ST, Columbus, OH 43205

Secondary Practice Locations 10

Location 11800 Heinzerling DrColumbus, OH 43223-3642 · Phone (614) 722-6200
Location 2700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-4750 · Fax (614) 722-4755
Location 3433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-6200
Location 4150 W Main StNew Albany, OH 43054-9229 · Phone (614) 722-6200
Location 54363 All Seasons DrHilliard, OH 43026-2050 · Phone (614) 722-6200
Location 626 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2530 · Fax (614) 722-5995
Location 7452 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-5822 · Fax (614) 293-9820
Location 85665 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000
Location 9830 W High StLima, OH 45801-3971 · Phone (614) 722-2000
Location 107450 Hospital DrDublin, OH 43016-9642 · Phone (614) 722-6200

Other Identifiers 2

OtherMEDICAREOH · 4290912
Medicaid3024631OH

Accepted Insurance

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

Stephen E Kirkby M.d. 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 ID2365573508
PECOS Enrollment IDI20100701000440
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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Nationwide Children's Hospital

Childrens · Columbus, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number363305
Location700 Children's DriveColumbus, OH 43205 · Franklin County
Emergency services

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims414 services$0.36 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers12 claims24 services$7.15 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
2 suppliers12 claims24 services$3.71 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers12 claims360 services$3.28 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers37 claims37 services$22.06 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers26 claims26 services$853.27 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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Pulmonology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Nephrology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Gastroenterology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Neurodevelopmental Disabilities)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics
555 S 18TH ST
COLUMBUS, OH 43205
Nurse Practitioner (Family)
555 S 18TH ST
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
555 S 18TH ST
COLUMBUS, OH 43205

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 Kirkby's NPI number?

The NPI number for Stephen Kirkby is 1437201100. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Stephen Kirkby located?

Stephen Kirkby practices at 555 S 18th St, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Stephen Kirkby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Stephen Kirkby enrolled in Medicare?

Yes. Stephen Kirkby 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.

What insurance does Stephen Kirkby accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Stephen Kirkby 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 Kirkby affiliated with any hospitals?

According to CMS data, Stephen Kirkby is affiliated with Ohio State University State Health System and Nationwide Children's Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Kirkby was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.