MR. KEVIN JAY LIUDAHL (MD) – Orthopaedic Surgery Physician, NPI 1336243542

MR. KEVIN JAY LIUDAHL (MD) is a healthcare provider. based in Sioux city, Iowa. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. 25978 (IA). The NPI Number for MR. KEVIN JAY LIUDAHL (MD) is 1336243542

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN JAY LIUDAHL (MD)
NPI
1336243542
Phone
(712) 224-8677
Address
2730 PIERCE ST
Enumeration Date
8 September 2006
Last Update Date
20 February 2019

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7122248677
Graduation Year
1982 (44 years ago)
PAC ID
5294632154
Group Practice PAC ID
2365583663
Professional Enrollment ID
I20050730000040
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. KEVIN JAY LIUDAHL (MD)

  • Siouxland Obstetrics and Gynecology Center, 2730, Pierce Street, Sioux City, Woodbury County, Iowa, 51104, United States

    STE 300

    SIOUX CITY, IA 511043765

    Phone: (712) 224-8677

    Fax: (712) 277-1662

    Type: Mailing

  • Saint Luke's College, 2800, Pierce Street, Sioux City, Woodbury County, Iowa, 51104, United States

    STE 101

    SIOUX CITY, IA 51104

    Phone: (712) 224-8677

    Fax: (712) 277-1662

    Type: Location

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: 2019-12-21

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
I20191221000617IOrthopedic SurgeryNETBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,566139$0
99213Established patient office or other outpatient visit, 20-29 minutes287191$0
20610Aspiration and/or injection of fluid from large joint193110$0
99214Established patient office or other outpatient visit, 30-39 minutes11496$0
73562X-ray of knee, 3 views10259$0
View full utilization report →

Insurance plans in this area (ZIP 51104)

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Provider's Procedures

MR. KEVIN JAY LIUDAHL (MD) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYIA27447Repair of knee joint5453
ORTHOPEDIC SURGERYIA73562X-ray of knee, 3 views9278

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365583663View full group profile
NameSpecialtyState
-NE
Certified Registered Nurse Anesthetist (Crna)IA
-IA

Reviews

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Frequently asked questions

Does MR. KEVIN JAY LIUDAHL (MD) have a public NPI I can cite?
Public records show MR. KEVIN JAY LIUDAHL (MD) under NPI 1336243542.
Is MR. KEVIN JAY LIUDAHL (MD) currently accepting referrals based on NPI status?
Registry metadata lists MR. KEVIN JAY LIUDAHL (MD) as active.
What services align with MR. KEVIN JAY LIUDAHL (MD)'s listing?
MR. KEVIN JAY LIUDAHL (MD)'s public classification highlights Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MR. KEVIN JAY LIUDAHL (MD) tied to Sioux City, Iowa?
If you are local to Sioux City, Iowa, MR. KEVIN JAY LIUDAHL (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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