Active NPI
Kenneth A Stephenson, MD
- Specialist
- Lubbock, TX
National Provider Identifier
1245234871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J0871
- Practice address
- 301 Utica Ave
Lubbock, TX 79416-3111 - Phone
- (806) 797-4985
- Fax
- (806) 792-8588
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | J0871 | TX | Primary |
Addresses
Primary practice location
301 Utica Ave
Lubbock, TX 79416-3111
Mailing address
301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104069302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical School at San Antonio, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Utica Ave
Lubbock, TX 79416-3111
Phone (806) 797-4985
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic Surgery L.L.P. | Current | Accepting new patients | |
| Jason a Ramsey Mdpa Sportszone Orthopedics | Current | Accepting new patients |
Locations
301 Utica Ave
Lubbock, TX 79416
Phone (806) 797-4985
4642 N Loop 289
Ste 101
Lubbock, TX 79416
Phone (806) 797-4985
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Lubbock, TX
- NPI 1093873176
-
- Orthopaedic Surgery Physician
- Lubbock, TX
- NPI 1801401229
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1922001775
-
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1245234871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UTICA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163111",
"telephone_number": "806-797-4985",
"fax_number": "806-792-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UTICA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163111",
"telephone_number": "806-797-4985",
"fax_number": "806-792-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "J0871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104069302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.