DR. STEPHEN SINCLAIR OUTTEN D.O.
NPI 1710957832
Emergency Medicine in Greenville, KY

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
440 HOPKINSVILLE ST, GREENVILLE, KY 42345(270) 338-8000(270) 338-8333 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Aug 7, 2024, Sep 30, 2021 (3 updates tracked since 2021).

About Dr. Stephen Sinclair Outten D.o. NPPES

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

DR. STEPHEN SINCLAIR OUTTEN D.O. (NPI 1710957832) is an individual emergency medicine provider in Greenville, Kentucky, licensed in Texas (N7855) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Muhlenberg Community Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1710957832
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. STEPHEN SINCLAIR OUTTENCredential: D.O.
Location Address440 HOPKINSVILLE STGreenville, KY 42345-1124
Mailing AddressPo Box 1306Orangeburg, SC 29116-1306 · (803) 536-2555 · Fax (803) 536-0998
Fax(270) 338-8333
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 23, 2006
Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1710957832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · N7855✔ Licensed in GA · 68928✔ Licensed in SC · 000653✔ Licensed in TN · 2070✔ Licensed in KY · C2999
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
440 HOPKINSVILLE ST, Greenville, KY 42345

Secondary Practice Location 1

Location 12260 Wrightsboro RdAugusta, GA 30904-4764 · Phone (706) 481-7700

Other Identifiers 1

MedicaidT00629SC

Accepted 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. Stephen Sinclair Outten D.o. 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 ID3476512419
PECOS Enrollment IDI20240828000682
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 Reassignments

16

Medicare enrollment records show Stephen Outten reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Medicine
440 HOPKINSVILLE ST
Greenville, KY 42345
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
Rural Health
1010 MEDICAL CENTER DR
Powderly, KY 42367
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
Emergency Medicine
2855 OLD HIGHWAY 5
Blue Ridge, GA 30513
  • Reassigned Medicare billing, Georgia enrollment
  • 124 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
Emergency Medicine
400 E 10TH ST
Anniston, AL 36207
  • Reassigned Medicare billing, Alabama enrollment
  • 73 clinicians in this Medicare group
Emergency Medicine
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 284 clinicians in this Medicare group
Emergency Medicine
60 HOSPITAL RD
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Emergency Medicine
1350 WALTON WAY
Augusta, GA 30901
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
196 services185 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
56 services54 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42345 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

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.

Emergency Medicine
440 HOPKINSVILLE ST
GREENVILLE, KY 42345
Nurse Practitioner (Family)
440 HOPKINSVILLE ST
GREENVILLE, KY 42345
Pain Medicine (Interventional Pain Medicine)
440 HOPKINSVILLE ST
GREENVILLE, KY 42345
Internal Medicine
440 HOPKINSVILLE ST
GREENVILLE, KY 42345
Emergency Medicine
440 HOPKINSVILLE ST
GREENVILLE, KY 42345
General Acute Care Hospital
440 HOPKINSVILLE ST
GREENVILLE, KY 42345
Nurse Practitioner (Family)
440 HOPKINSVILLE ST
GREENVILLE, KY 42345
Nurse Practitioner (Family)
440 HOPKINSVILLE ST
GREENVILLE, KY 42345

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 Outten's NPI number?

The NPI number for Stephen Outten is 1710957832. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Stephen Outten located?

Stephen Outten practices at 440 Hopkinsville St, Greenville, KY 42345. The listed phone number is (270) 338-8000.

What is Stephen Outten's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stephen Outten enrolled in Medicare?

Yes. Stephen Outten 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 organizations bill Medicare for Stephen Outten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Outten reassigns Medicare benefits to 16 organizations: Owensboro Health Medical Group, Inc. (Greenville, KY), Baptist Health Deaconess Medical Group Inc (Powderly, KY), App Of Tennessee Ed, PLLC (Maryville, TN), Southeastern Emergency Physicians LLC (Maysville, KY), Fort Oglethorpe Emergency Physicians Group LLC (Blue Ridge, GA) and 11 more organizations, listed in the Medicare section above. Each 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 Stephen Outten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Outten accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health and 3 other insurers list Stephen Outten 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 Outten affiliated with any hospitals?

According to CMS data, Stephen Outten is affiliated with Owensboro Health Muhlenberg Community Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Outten was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.