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DR. KEVIN JAMES KAVANAUGH PSY.D.
NPI 1508312505
Psychologist - Clinical in Madison, WI

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
2901 W BELTLINE HWY STE 301, MADISON, WI 53713(262) 999-3495(608) 236-4461 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2026, Dec 5, 2024, Jun 20, 2023 and 2 more (5 updates tracked since 2016).

About Dr. Kevin James Kavanaugh Psy.d. NPPES

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

DR. KEVIN JAMES KAVANAUGH PSY.D. (NPI 1508312505) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (5075-57) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508312505
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEVIN JAMES KAVANAUGHCredential: PSY.D.
Location Address2901 W BELTLINE HWY STE 301Madison, WI 53713-4228
Mailing Address16535 W Bluemound Rd Ste 200Brookfield, WI 53005-5906 · (480) 860-7889
Phone(262) 999-3495
Fax(608) 236-4461
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 30, 2016
Last NPPES UpdateMay 26, 20265 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1508312505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 5075-57
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2901 W BELTLINE HWY STE 301, Madison, WI 53713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.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. Kevin James Kavanaugh Psy.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 ID1153799531
PECOS Enrollment IDI20241210003565
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 Kevin Kavanaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Counseling Services, Inc
66 mi
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
NPI 1033127246 (262) 789-1191

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 53713 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 10

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

ALEXANDRA IVERSON MS MFT
Marriage & Family Therapist
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (608) 515-5549
CARMEN MENGISTU
Social Worker (Clinical)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (608) 236-4460
MARIA A BUTTS LCSW
Social Worker (Clinical)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (414) 429-8744
MEGHAN S CONNORS LPC
Counselor (Professional)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (608) 236-4460
TERESA JANE BAY LPC
Counselor (Professional)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (262) 999-3495
JUSTIN CHANDLER WEIS LPC
Counselor (Professional)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (262) 999-3495
ALEXIS ELIN FLIEHS MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (608) 235-4460
MONIKA ZAWADZKA APNP
Nurse Practitioner (Psychiatric/Mental Health)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (262) 999-3495

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 Kevin Kavanaugh's NPI number?

The NPI number for Kevin Kavanaugh is 1508312505. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Kevin Kavanaugh located?

Kevin Kavanaugh practices at 2901 W Beltline Hwy Ste 301, Madison, WI 53713. The listed phone number is (262) 999-3495.

What is Kevin Kavanaugh's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kevin Kavanaugh enrolled in Medicare?

Yes. Kevin Kavanaugh 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 organization bills Medicare for Kevin Kavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kavanaugh reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, WI). 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 Kevin Kavanaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Kavanaugh accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 3 other insurers list Kevin Kavanaugh 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.

When was this NPI record last updated?

The NPPES record for Kevin Kavanaugh was last updated on May 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.