Individual provider Active NPI

Kevin Douglas Myers, MD

  • Plastic and Reconstructive Surgery Physician
  • Chico, CA
National Provider Identifier
1982662086
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A79359 Issued in CA
Practice address
251 Cohasset Rd
Ste 340
Chico, CA 95926-2241
Phone
(530) 345-5900
Fax
(530) 345-5995
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A79359 CA Primary

Addresses

Primary practice location

251 Cohasset Rd
Ste 340
Chico, CA 95926-2241

Mailing address

251 Cohasset Rd
Ste 340
Chico, CA 95926-2241
Phone (530) 345-5900

Other identifiers 1

IdentifierTypeStateIssuer
1982662086MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000702 CA Practitioner - Plastic and Reconstructive Surgery 1254389356 Reassigns benefits to 3 organizations
Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Columbia University College of Physicians and Surgeons, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstate Plastic Surgery Associates IncGroup PAC ID 3375850076, 2 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1260 E Ave
Chico, CA 95926
Phone (530) 345-5900

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy21
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79359CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstate Plastic Surgery Associates Inc Plastic and Reconstructive Surgery CurrentSince Sep 1, 2015 Accepting new patients
Enloe Medical Center CurrentSince Jan 28, 2020 Accepting new patients
Northstate Plastic Surgery Center CurrentSince Jun 1, 2018 Accepting new patients
Enloe Medical Center CurrentSince Jan 28, 2020 Accepting new patients
Microsurgical Transplantation Research Foundation Past Accepting new patients

Locations

1260 East Ave
Chico, CA 95926
Phone (530) 345-5900

251 Cohasset Rd
Ste 350
Chico, CA 95926
Phone (530) 345-5900

1260 East Ave
#100
Chico, CA 95926

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

251 Cohasset Rd
Ste 340
Chico, CA 95926
Phone (530) 342-1231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGHCDA/Endpoint/EGHCDA
  • Direct secure messaging: kmyers15366@enloedirect.org

Organizations & group practices 5

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 2

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1982662086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 COHASSET RD",
            "address_2": "STE 340",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262241",
            "telephone_number": "530-345-5900",
            "fax_number": "530-345-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COHASSET RD",
            "address_2": "STE 340",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262241",
            "telephone_number": "530-345-5900",
            "fax_number": "530-345-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KEVIN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A79359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982662086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.