KEVIN WAYNE STEPHENS (M.D.) – Family Medicine Physician, NPI 1821046244

KEVIN WAYNE STEPHENS (M.D.) is a healthcare provider. based in Nacogdoches, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD21691 (ME). The NPI Number for KEVIN WAYNE STEPHENS (M.D.) is 1821046244

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN WAYNE STEPHENS (M.D.)
NPI
1821046244
Phone
(365) 604-4259
Address
1018 N MOUND ST STE 101
Enumeration Date
5 May 2006
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
7911903836
Group Practice PAC ID
1052208113
Professional Enrollment ID
I20170627003169
Address ID
ME046051717EL32XXXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for KEVIN WAYNE STEPHENS (M.D.)

  • 1018 N MOUND ST STE 101

    NACOGDOCHES, TX 759614434

    Phone: (365) 604-4259

    Fax: (936) 560-4219

    Type: Mailing

  • 1599, Pushaw Road, East Bangor, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 04401

    Phone: (207) 404-8200

    Fax: (207) 947-0435

    Type: Mailing

  • Schoodic Health Clinic, 53, Schoodic Drive, Belfast, Waldo County, Maine, 04915, United States

    BELFAST, ME 049157246

    Phone: (207) 338-6900

    Fax: (207) 338-4974

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2017-06-27

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
I20170627003169IFamily PracticeMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75961)

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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: 1052208113View full group profile
NameSpecialtyState
-ME
-ME
Cardiovascular Disease (Cardiology), Internal MedicineME
Pain Management, AnesthesiologyME
Physician AssistantME
Certified Registered Nurse Anesthetist (Crna)OH
Nurse PractitionerME
General SurgeryFL
O B S T E T R I C S/ G Y N E C O L O G YME
Internal MedicineME

Reviews

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Frequently asked questions

Is KEVIN WAYNE STEPHENS (M.D.) listed with a National Provider Identifier?
Yes — KEVIN WAYNE STEPHENS (M.D.) has NPI 1821046244 on file in the registry.
Is there an active status for KEVIN WAYNE STEPHENS (M.D.)?
For scheduling context, KEVIN WAYNE STEPHENS (M.D.) is shown as active in the registry.
What area of care is associated with KEVIN WAYNE STEPHENS (M.D.)?
KEVIN WAYNE STEPHENS (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is KEVIN WAYNE STEPHENS (M.D.) registered?
Use Nacogdoches, Texas as the headline location for KEVIN WAYNE STEPHENS (M.D.) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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