KENNETH MICHAEL STEIN (PAC) – Physician Assistant, NPI 1619930005

KENNETH MICHAEL STEIN (PAC) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 962 (OK). The NPI Number for KENNETH MICHAEL STEIN (PAC) is 1619930005

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH MICHAEL STEIN (PAC)
NPI
1619930005
Phone
(405) 272-6027
Address
535 NW 9TH ST
Enumeration Date
8 April 2006
Last Update Date
18 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057013563
Graduation Year
1998 (28 years ago)
PAC ID
0446243265
Group Practice PAC ID
8729215025
Professional Enrollment ID
I20040407000492
Address ID
OK730714059NO2824XBLVD301

Contacts

Secure Messaging
kstein34764@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for KENNETH MICHAEL STEIN (PAC)

  • 535, Northwest 9th Street, Midtown Oklahoma City, Oklahoma City, Oklahoma County, Oklahoma, 73102, United States

    SUITE 300

    OKLAHOMA CITY, OK 731021070

    Phone: (405) 272-6027

    Fax: (405) 272-8315

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($115).

Total Amount

$171

General + Research + Ownership

Payments

4

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-07

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
I20040407000492IPhysician AssistantOKTBD

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 minutes264176$0
99203New patient office or other outpatient visit, 30-44 minutes111111$0
99214Established patient office or other outpatient visit, 30-39 minutes2928$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
31575Diagnostic exam of voice box using a flexible endoscope2622$0
View full utilization report →

Insurance plans in this area (ZIP 73102)

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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: 8729215025View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
-OK
General PracticeOK
Family PracticeOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK

Reviews

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Frequently asked questions

What unique ID ties claims to KENNETH MICHAEL STEIN (PAC)?
NPI 1619930005 is assigned to KENNETH MICHAEL STEIN (PAC) under the national enumeration system.
Does this profile mean KENNETH MICHAEL STEIN (PAC) is currently active?
Yes — KENNETH MICHAEL STEIN (PAC) appears active in the national provider directory.
Does KENNETH MICHAEL STEIN (PAC) list a primary specialty?
If you are matching referrals, note Physician Assistant for KENNETH MICHAEL STEIN (PAC). Clinical services aligned with this taxonomy classification.
Where is KENNETH MICHAEL STEIN (PAC)'s primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for KENNETH MICHAEL STEIN (PAC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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