STEPHANIE KOUVATSOS (PA-C) – Medical Physician Assistant, NPI 1801463112

STEPHANIE KOUVATSOS (PA-C) is a healthcare provider. based in Midlothian, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110007996 (VA). The NPI Number for STEPHANIE KOUVATSOS (PA-C) is 1801463112

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE KOUVATSOS (PA-C)
NPI
1801463112
Phone
(804) 330-3335
Address
3742 WINTERFIELD RD
Enumeration Date
6 June 2021
Last Update Date
8 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413598900
Graduation Year
2021 (5 years ago)
PAC ID
9436554847
Group Practice PAC ID
5597796664
Professional Enrollment ID
I20231003000350
Address ID
FL342025177LA6310XWAYX412
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for STEPHANIE KOUVATSOS (PA-C)

  • 3742 WINTERFIELD RD

    MIDLOTHIAN, VA 231139230

    Phone: (804) 330-3335

    Fax: (804) 320-2717

    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 31 Open Payments records for all available years, with a total value of $674.

Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($136).

Total Amount

$674

General + Research + Ownership

Payments

31

Total payment records

General Amount

$674

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

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: 2023-10-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210824001284IPhysician AssistantVATBD
I20231003000350IPhysician AssistantFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10499$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3634$0
View full utilization report →

Insurance plans in this area (ZIP 23113)

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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: 5597796664View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerIN
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Family PracticeOK

Reviews

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Frequently asked questions

Where can patients find STEPHANIE KOUVATSOS (PA-C)'s NPI?
You can confirm STEPHANIE KOUVATSOS (PA-C) with NPI 1801463112; it appears in the national provider directory.
Is STEPHANIE KOUVATSOS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does STEPHANIE KOUVATSOS (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for STEPHANIE KOUVATSOS (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place STEPHANIE KOUVATSOS (PA-C)?
The snapshot lists Midlothian, Virginia for STEPHANIE KOUVATSOS (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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