MARK EVAN STEVENS (M.D.) – Allergy & Immunology (Internal Medicine) Physician, NPI 1629399001
Allergy & Immunology (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 ALLERGY/IMMUNOLOGY in UT
Provider Addresses for MARK EVAN STEVENS (M.D.)
544 S 400 E
SAINT GEORGE, UT 847703705
Phone: (435) 688-6288
Fax: (435) 688-6288
Type: Location
601 N 30TH ST
3M-100
OMAHA, NE 681312137
Phone: (402) 280-4403
Fax: (402) 280-4803
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: 2015-05-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150501001104 | I | Allergy/Immunology | UT | 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 |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 5,040 | 11 | $0 |
| 95004 | Test for allergy using allergenic extract | 3,096 | 74 | $0 |
| 95044 | Test for allergy using skin patch | 1,845 | 25 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 506 | 25 | $0 |
| 95117 | Professional service for multiple injections of allergen | 379 | 22 | $0 |
Insurance plans in this area (ZIP 84770)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | NE | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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