STEPHEN MARK KING M.D.
NPI 1609806165
Orthopaedic Surgery in Calhoun, GA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
400 TIMMS RD NE, CALHOUN, GA 30701(706) 602-3100(706) 602-3101 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2018, Aug 30, 2016 (2 updates tracked since 2016).

About Stephen Mark King M.d. NPPES

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

STEPHEN MARK KING M.D. (NPI 1609806165) is an individual orthopaedic surgery provider in Calhoun, Georgia, licensed in Georgia (057874) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1609806165
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTEPHEN MARK KINGCredential: M.D.
Location Address400 TIMMS RD NECalhoun, GA 30701-7016
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800
Fax(706) 602-3101
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 3, 2006
Last NPPES UpdateDecember 18, 20182 updates tracked since enumeration
NPI 1609806165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 057874
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

400 TIMMS RD NE, Calhoun, GA 30701

Other Identifiers 3

Medicaid179692697HGA
Medicaid179692697IGA
Medicaid179692697EGA

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 Mark King 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 ID4789682345
PECOS Enrollment IDI20061116000074, I20200623001436
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 18

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
466 services44 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.
109 services92 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.
64 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
53 services36 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
47 services13 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
38 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Washington County Regional Medical Center

Acute Care Hospitals · Sandersville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110086
Location610 Sparta RoadSandersville, GA 31082 · Washington County
Emergency services

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
400 TIMMS RD NE
CALHOUN, GA 30701
Nurse Practitioner (Family)
400 TIMMS RD NE
CALHOUN, GA 30701
Nurse Practitioner
400 TIMMS RD NE
CALHOUN, GA 30701
Nurse Practitioner (Family)
400 TIMMS RD NE
CALHOUN, GA 30701
Family Medicine
400 TIMMS RD NE
CALHOUN, GA 30701
Internal Medicine
400 TIMMS RD NE
CALHOUN, GA 30701
Physician Assistant
400 TIMMS RD NE
CALHOUN, GA 30701
Nurse Practitioner (Family)
400 TIMMS RD NE
CALHOUN, GA 30701

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 King's NPI number?

The NPI number for Stephen King is 1609806165. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Stephen King located?

Stephen King practices at 400 Timms Rd NE, Calhoun, GA 30701. The listed phone number is (706) 602-3100.

What is Stephen King's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stephen King enrolled in Medicare?

Yes. Stephen King 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 King accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Stephen King 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 King affiliated with any hospitals?

According to CMS data, Stephen King is affiliated with Adventhealth Gordon, Adventhealth Murray, Washington County Regional Medical Center and St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Stephen King was last updated on December 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.