NPIMap

Individual provider Active NPI

Scott Matthew Stephens, M.D.

  • Internal Medicine Physician
  • Somerset, KY
National Provider Identifier
1457375289
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29795 Issued in KY
Practice address
110 Hardin LN
Suite 10
Somerset, KY 42503-3818
Phone
(606) 679-9268
Fax
(606) 677-1020
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29795 KY Primary

Addresses

Primary practice location

110 Hardin LN
Suite 10
Somerset, KY 42503-3818

Mailing address

110 Hardin LN
Suite 10
Somerset, KY 42503-3818
Phone (606) 679-9268

Other identifiers 3

IdentifierTypeStateIssuer
61,1355693OtherTAX ID
64297955MedicaidKY
29795OtherKYKENTUCKY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000010 KY Practitioner - Hospitalist 0941201958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Kentucky PSCGroup PAC ID 8820164411, 30 clinicians

Practice addresses (Care Compare)

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-2994

Hospital & facility affiliations

  • Hospice of Lake Cumberland Hospice, Somerset, KY, CCN 181510
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
  • Casey County Hospital Hospital, Liberty, KY, CCN 181309
  • Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
  • Lake Cumberland Regional Hospital Scu Nursing home, Somerset, KY, CCN 185407

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
79.69
Improvement activities
40
Cost
72.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29795KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Kentucky PSC CurrentSince Nov 1, 2010 Accepting new patients
New Lexington Clinic PSC Past Accepting new patients
Lake Cumberland Regional Hospital LLC Past Accepting new patients

Locations

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1457375289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARDIN LN",
            "address_2": "SUITE 10",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033818",
            "telephone_number": "606-679-9268",
            "fax_number": "606-677-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HARDIN LN",
            "address_2": "SUITE 10",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033818",
            "telephone_number": "606-679-9268",
            "fax_number": "606-677-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SCOTT",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "29795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "61,1355693",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64297955",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY LICENSE",
            "identifier": "29795",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.