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Dr. Kenneth Edward Stevenson , MD

Pediatrics • Ogden, UT

Active NPI 1245326065 Individual Practitioner Male Practitioner
Practice location in NPPES

5405 S 500 E Ste 205
Ogden, UT 844057420

Call 8014790174 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5405 S 500 E Ste 205

Ogden, UT 844057420

Telephone 8014790174
Fax 8014798888
Organization at the Same NPPES Address or Phone
Mountainstar Ogden Pediatrics Llc Facility NPI 1265694509

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Saint Louis University School Of Medicine

Graduation Year

1995

Open Payments general payments, program year 2025

All general payments: $158.66 across 5 records.

By nature of payment

  • Food and Beverage: $158.66 across 5 records.

Reporting-company totals (3 largest of 5)

  • Sanofi and Genzyme US Companies: $80.64 across 1 record.
  • Corium, LLC: $23.09 across 1 record.
  • Tris Pharma Inc: $22.03 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

31 years (graduated 1995)

CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Stevenson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Stevenson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ogden and Utah

25 active clinicians are listed under Pediatrics with a practice address in Ogden, UT (670 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ogden

0% of these 25 clinicians have the CMS telehealth indicator.

4% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $158.66.

Manufacturer Payment Nature Product Type Amount ($)
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $80.64
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $23.09
Tris Pharma Inc
Food and Beverage
In-kind items and services
Quillivant General $22.03
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $18.62
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $14.28

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES UT 378676-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1245326065 (UT)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20250725000126

Enrollment State Jurisdiction

UT

PECOS Control ID

3173030178

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location April 19, 2023

Registered at 5405 S 500 E STE 205, OGDEN, UT 844057420 (Tel: 8014790174)

📍
Updated Business Mailing Address November 30, 2020

Registered at PO BOX 281721, ATLANTA, GA 303841721

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NPI Profile Active August 19, 2008

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 19, 2008

Registered at 5495 S 500 E, STE 120, OGDEN, UT 844056923 (Tel: 8014790174)

📍
Business Mailing Address (Initial Record) August 19, 2008

Registered at 5495 S 500 E, STE 120, OGDEN, UT 844056923 (Tel: 8014790174)

👤
Provider Name / Credentials (Initial Record) August 19, 2008

Recorded as KENNETH STEVENSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2008

Pediatrics (license number reported to NPPES: UT 378676-1205)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245326065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: April 19, 2023
Sole Proprietor: No

Mailing Address

Po Box 281721

Atlanta, GA 303841721

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.