KENNETH STEVENS (M.D.) – Cardiovascular Disease Physician, NPI 1184643629

KENNETH STEVENS (M.D.) is a healthcare provider. based in San luis obispo, California. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. A102905 (CA). The NPI Number for KENNETH STEVENS (M.D.) is 1184643629

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH STEVENS (M.D.)
NPI
1184643629
Phone
(805) 540-3333
Address
3231 S HIGUERA ST
Enumeration Date
18 July 2006
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
1658283064
Professional Enrollment ID
I20081118000898
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH STEVENS (M.D.)

  • 3231, South Higuera Street, San Luis Obispo, San Luis Obispo County, California, 93401, United States

    SAN LUIS OBISPO, CA 934016924

    Phone: (805) 540-3333

    Fax: (805) 540-3344

    Type: Mailing

  • 3268 WATERSTONE AVE

    HENDERSON, NV 890441867

    Phone: (815) 378-8514

    Fax: (805) 540-3344

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081118000898ICardiovascular Disease (Cardiology)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes284174$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers19765$0
93970Ultrasound study of arm or leg veins with compression and maneuvers140113$0
99214Established patient office or other outpatient visit, 30-39 minutes11582$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance8246$0
View full utilization report →

Insurance plans in this area (ZIP 93401)

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Provider's Procedures

KENNETH STEVENS (M.D.) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle13774

Reviews

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Frequently asked questions

Is KENNETH STEVENS (M.D.) listed with a National Provider Identifier?
Yes — KENNETH STEVENS (M.D.) has NPI 1184643629 on file in the registry.
Is there an active status for KENNETH STEVENS (M.D.)?
For scheduling context, KENNETH STEVENS (M.D.) is shown as active in the registry.
What area of care is associated with KENNETH STEVENS (M.D.)?
KENNETH STEVENS (M.D.)'s record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is KENNETH STEVENS (M.D.) located near San Luis Obispo?
KENNETH STEVENS (M.D.) currently maps to San Luis Obispo, California in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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