LAURENCE KEMPTON MD NPI 1003022591

Orthopaedic Surgery in Charlotte, NC

NPI 1003022591 Individual Male Years of Experience 18 Orthopaedic Surgery PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 97.9

NPI Profile for LAURENCE KEMPTON MD

Laurence Kempton is a provider established in Charlotte, North Carolina and his medical specialization is orthopaedic surgery with more than 18 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005. The NPI number of Laurence Kempton is 1003022591 and was assigned on May 2007. The practitioner's primary taxonomy code is 207X00000X with license number 2010-00204 (NC). The provider is registered as an individual and his NPI record was last updated February 2022.

Laurence Kempton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Laurence Kempton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Carolinas Medical Center/behav Health.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.8 for a new patient copayment and $17.73 for an established patient copayment.

NPI

1003022591

Provider Name LAURENCE KEMPTON MD
Provider Location Address1025 MOREHEAD MEDICAL DR STE 300 CHARLOTTE, NC 28204
Provider Mailing AddressPO BOX 19305 CHARLOTTE, NC 28219
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-14-2007
Last Update Date02-04-2022


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.2010-00204
License StateNC
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

LAURENCE KEMPTON MD
1025 MOREHEAD MEDICAL DR
STE 300
CHARLOTTE, NC
ZIP 28204
Phone: (704) 355-5982

Get Directions


Mailing Address

LAURENCE KEMPTON MD
PO BOX 19305
CHARLOTTE, NC
ZIP 28219
Phone:



Secondary Locations

1350 S Kings Dr
Charlotte, NC 28207
(704) 446-1340

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5991994055
PECOS Enrollment IDI20110105001165
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 28204 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.51 $172.65 $87.2
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.12 $43.16 $21.8
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.43 $140.98 $70.95
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.35 $35.24 $17.73

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 82.8
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 97.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Laurence Kempton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CAROLINAS MEDICAL CENTER/BEHAV HEALTH1000 BLYTHE BLVD
CHARLOTTE, NC 28203
(704) 355-2000Acute Care Hospitals340113

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003022591
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003024518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 4 + 5 + 1 + 8 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1003022591 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124004676 CHERYL DICKERSON M.S.
Individual
Genetic Counselor, MS1025 MOREHEAD MEDICAL DR SUITE 500
CHARLOTTE, NC 28204
(704) 355-7916
1609800846DR. EDWARD CARL FISHER SR.
Individual
Obstetrics & Gynecology1025 MOREHEAD MEDICAL DR SUITE 450
CHARLOTTE, NC 28204
(704) 446-7800
1689690885 WILLIAM W MACDONALD M.D.
Individual
Obstetrics & Gynecology1025 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204
(704) 446-1700
1730105347ORTHOCAROLINA, PA
Organization
Orthopaedic Surgery1025 MOREHEAD MEDICAL DR STE 300
CHARLOTTE, NC 28204
(704) 323-2000
1528136843DR. PRIYA V RAJAN MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)1025 MOREHEAD MEDICAL DR SUITE 500
CHARLOTTE, NC 28204
(704) 446-1544
1205988672 KATRINA L HEATH PT
Individual
Physical Therapist1025 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204
(704) 355-4455
1235277138MRS. JEAN WESLEY ST. JOHN MS, CGC
Individual
Genetic Counselor, MS1025 MOREHEAD MEDICAL DR SUITE 500
CHARLOTTE, NC 28204
(704) 355-4599
1669662268DR. DUONG HA NGUYEN M.D.
Individual
Specialist1025 MOREHEAD MEDICAL DR SUITE 300
CHARLOTTE, NC 28204
(704) 323-2426
1396922720MRS. MARY BETH DELLINGER MS, CGC
Individual
Genetic Counselor, MS1025 MOREHEAD MEDICAL DR SUITE 500
CHARLOTTE, NC 28204
(704) 355-3857
1831337484ORTHOCAROLINA
Organization
Preferred Provider Organization1025 MOREHEAD MEDICAL DR SUITE 300
CHARLOTTE, NC 28204
(704) 323-3165
1134437296 MCNEELY CURTIS PURCELL NP-C
Individual
Nurse Practitioner (Family)1025 MOREHEAD MEDICAL DR 300
CHARLOTTE, NC 28204
(704) 446-6810
1750435889 ANNA MARIA SEARLS
Individual
Physician Assistant (Medical)1025 MOREHEAD MEDICAL DR SUITE 225
CHARLOTTE, NC 28204
(704) 355-7150
1174859102 SHANNON E CORMIER PT
Individual
Physical Therapist1025 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204
(704) 355-4455
1326487349CAROLINAS HEALTHCARE SYSTEM
Organization
General Acute Care Hospital1025 MOREHEAD MEDICAL DR SUITE 300
CHARLOTTE, NC 28204
(704) 446-2772
1215377080 DANIEL MCCLURE
Individual
Orthopaedic Surgery1025 MOREHEAD MEDICAL DR SUITE 300
CHARLOTTE, NC 28204
(704) 446-2772
1346535929 KATRINA TRAVERSO FNP
Individual
Nurse Practitioner (Family)1025 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204
(704) 355-7150
1912106279 WILLIAM HABERLIN MD
Individual
Surgery1025 MOREHEAD MEDICAL DR SUITE 300
CHARLOTTE, NC 28204
(704) 355-1813
1205265907MS. ANGELA KENNEDY MSW
Individual
Social Worker (Clinical)1025 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204
(704) 355-1794
1396750857DR. AVICK G MITRA MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)1025 MOREHEAD MEDICAL DR SUITE 500, 5TH FLOOR
CHARLOTTE, NC 28204
(704) 355-3149
1235383464 MYUNG MI KIM M.D.
Individual
Surgery1025 MOREHEAD MEDICAL DR SUITE 300
CHARLOTTE, NC 28204
(704) 355-1813

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Laurence Kempton Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.