DR. KENNA J STEPHENSON (MD) – Family Medicine Physician, NPI 1962697755
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for DR. KENNA J STEPHENSON (MD)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752847824
Phone: (903) 877-2827
Fax: (903) 877-5661
Type: Mailing
11937 HWY 271
TYLER, TX 757083154
Phone: (903) 877-2827
Fax: (903) 877-5661
Type: Location
2945 W Ina Rd Ste 215&221
Tucson, AZ 857412350
Phone: (520) 616-1531
Fax: (520) 616-1536
Type: Location
3212 N Windsong Dr Ste 200
Prescott Valley, AZ 863142255
Phone: (928) 583-1000
Fax: (866) 751-4157
Type: Location
1090 COMMERCE DR
PRESCOTT, AZ 863053700
Phone: (928) 583-1000
Fax: (866) 323-8458
Type: Location
PO BOX 188
MARANA, AZ 856530188
Phone: (520) 616-1531
Fax: (520) 616-1536
Type: Mailing
1998 PRESCOTT LAKES PKWY
PRESCOTT, AZ 863017825
Phone: (928) 582-1130
Type: Mailing
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 $298.
Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: BIOTRONIK INC. ($153).
Total Amount
$298
General + Research + Ownership
Payments
4
Total payment records
General Amount
$298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTRONIK INC. | $153 |
| Biosense Webster, Inc. | $114 |
| Paratek Pharmaceuticals, Inc. | $17 |
| Exact Sciences Corporation | $13 |
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: 2021-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180907000981 | I | Family Practice | GU | TBD |
| I20211013001513 | I | Family Practice | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AZ | |
| Physician Assistant | AZ | |
| General Practice | AZ | |
| Physical Therapist In Private Practice | WI | |
| Orthopedic Surgery | AZ | |
| - | AZ | |
| Physical Therapist In Private Practice | CO | |
| Nurse Practitioner | AZ | |
| - | AZ |
Reviews
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