DR. KORY DAVID STOTESBERY D.O.
NPI 1821250564
Psychiatry & Neurology - Psychiatry in Walnut Creek, CA

Q: What is Kory Stotesbery's NPI number?

The NPI number for Kory Stotesbery is 1821250564. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Kory Stotesbery's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kory Stotesbery was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 25, 2008PECOS Enrolled

2970 CAMINO DIABLO STE 300, WALNUT CREEK, CA 94597(925) 360-5264 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2025, Feb 5, 2020, Oct 25, 2019 (3 updates tracked since 2019).

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About Dr. Kory David Stotesbery D.o. NPPES

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

DR. KORY DAVID STOTESBERY D.O. (NPI 1821250564) is an individual psychiatry provider in Walnut Creek, California, licensed in California (A12798) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821250564

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KORY DAVID STOTESBERYCredential: D.O.

Location Address2970 CAMINO DIABLO STE 300Walnut Creek, CA 94597-4001

Mailing Address2970 Camino Diablo Ste 300Walnut Creek, CA 94597-4001 · (925) 360-5264

Phone(925) 360-5264

Sole ProprietorNo

Enumeration DateJune 25, 2008

Last NPPES UpdateJune 2, 20253 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1821250564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A12798

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 20A12798 (CA)

2970 CAMINO DIABLO STE 300, Walnut Creek, CA 94597

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kory David Stotesbery D.o. 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 Reassignments

Medicare enrollment records show Kory Stotesbery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comprehensive Psychiatric Services, A Medical Group

2.6 mi

Psychiatry

3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597

Reassigned Medicare billing, California enrollment
149 clinicians in this Medicare group

NPI 1184785834 (925) 944-9711

Seneca Family Of Agencies

9.6 mi

Community/Behavioral Health

3695 HIGH ST
Oakland, CA 94619

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1235344862 (510) 317-1444

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 94597 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

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.

DR. MARIA EMMA ROSA CASTRO LACOUTURE M.D.

Psychiatry & Neurology (Psychiatry)