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KEVIN L ST. CLAIR M.D.
NPI 1649357690
Dermatology in Fayetteville, AR

Active since November 01, 2006PECOS Enrolled
4375 N VANTAGE DR, SUITE 305, FAYETTEVILLE, AR 72703(479) 443-5100(479) 443-5117 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin L St. Clair M.d. NPPES

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

KEVIN L ST. CLAIR M.D. (NPI 1649357690) is an individual dermatology provider in Fayetteville, Arkansas, licensed in Arkansas (R-4149) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1649357690
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKEVIN L ST. CLAIRCredential: M.D.
Location Address4375 N VANTAGE DR, SUITE 305Fayetteville, AR 72703-4982
Mailing Address4375 N Vantage Dr, Suite 305Fayetteville, AR 72703-4982 · (479) 443-5100 · Fax (479) 443-5117
Phone(479) 443-5100
Fax(479) 443-5117
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1649357690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AR · R-4149
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X · License R4149 (AR)
4375 N VANTAGE DR, Fayetteville, AR 72703
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Secondary Practice Location 1

Location 14301 W Markham StLittle Rock, AR 72205-7101 · Phone (501) 686-7000

Other Identifiers 2

Medicaid119113001AR
Other16085000000AR · Qualchoice

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin L St. Clair M.d. 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 Kevin St. Clair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences
1.9 mi
Psychiatry
3425 N FUTRALL DR STE 103
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1720217599 (479) 713-8350

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 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
84%32 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,742 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
73%1,291 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%187 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,827 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%946 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
76%870 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 588 patients
Patients tobacco: 100% · 588 patients
100%33 patients5/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
35%588 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%1,827 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MARY SUSAN HILTON PA-C
Physician Assistant (Medical)
4375 N VANTAGE DR, SUITE 305
FAYETTEVILLE, AR 72703
Washington County (479) 443-5100
TIFFANY D WILLIAMS FNP-BC
Nurse Practitioner (Family)
4375 N VANTAGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 443-5100
BETHEL BURRIS OLIVER PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4375 N VANTAGE DR, SUITE 202
FAYETTEVILLE, AR 72703
Washington County (870) 972-8294

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 St. Clair's NPI number?

The NPI number for Kevin St. Clair is 1649357690. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kevin St. Clair located?

Kevin St. Clair practices at 4375 N Vantage Dr Suite 305, Fayetteville, AR 72703. The listed phone number is (479) 443-5100.

What is Kevin St. Clair's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kevin St. Clair enrolled in Medicare?

Yes. Kevin St. Clair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin St. Clair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin St. Clair reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Fayetteville, AR). 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 St. Clair'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 Kevin St. Clair was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.