NPIMap

Individual provider Active NPI

Kristen Deyoung Pitts, MD

  • Otolaryngology Physician
  • Spartanburg, SC
National Provider Identifier
1891107702
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
81909 Issued in SC
Practice address
1095 Iron Ore Road
Spartanburg, SC 29303-2239
Phone
(864) 582-2900
Fax
(864) 582-4991
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 81909 SC
Otolaryngology Physician 207Y00000X 81909 SC Primary

Addresses

Primary practice location

1095 Iron Ore Road
Spartanburg, SC 29303-2239

Mailing address

P.O. Box 5787
Spartanburg, SC 29304-5787
Phone (864) 582-2900

Other names 1

  • Ms. Kristen Nicole Deyoung Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190826001478 SC Practitioner - Otolaryngology 8527382357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1095 Iron Ore Rd
Spartanburg, SC 29303-2239
Phone (864) 582-2900

2755 S Hwy 14
Suite 2400
Greer, SC 29650-4940
Phone (864) 582-2900

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

Merit-based Incentive Payment System (MIPS)

Final score
93.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81909SCMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Ear Nose & Throat, Head & Neck Surgery PA CurrentSince Jul 1, 2019 Accepting new patients
Spartanburg Ear Nose & Throat, Gaffney Office CurrentSince Jul 1, 2019 Accepting new patients

Locations

2755 S Highway 14
Ste 2400
Greer, SC 29650
Phone (864) 582-2900

1330 Boiling Springs Rd
Ste 1400
Spartanburg, SC 29303
Phone (864) 278-1442

Interoperability endpoints

  • Direct secure messaging: kristen.pitts.p1@direct.sent.nextgenshare.com

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.

Hospital & facility affiliations 6

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1891107702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5787",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045787",
            "telephone_number": "864-582-2900",
            "fax_number": "864-582-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 IRON ORE ROAD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032239",
            "telephone_number": "864-582-2900",
            "fax_number": "864-582-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "KRISTEN",
        "middle_name": "DEYOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "SC",
            "license": "81909",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "81909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DEYOUNG",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.