KRISTEN MCCARTNEY WIDMER M.D.
NPI 1043665201
Psychiatry & Neurology - Neurology in Raleigh, NC

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1540 SUNDAY DR, RALEIGH, NC 27607(919) 782-3456 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Feb 24, 2025, Jun 2, 2020 and 1 more (4 updates tracked since 2017).

About Kristen Mccartney Widmer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN MCCARTNEY WIDMER M.D. (NPI 1043665201) is an individual neurology provider in Raleigh, North Carolina, licensed in North Carolina (2023-02356) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043665201
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKRISTEN MCCARTNEY WIDMERCredential: M.D.
Location Address1540 SUNDAY DRRaleigh, NC 27607-6010
Mailing Address1540 Sunday DrRaleigh, NC 27607-6010 · (197) 823-4569 · Fax (919) 783-1441
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1043665201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in NC · 2023-02356 Licensed in NY · 295914
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1540 SUNDAY DR, Raleigh, NC 27607

Other Names 1

Former Name (1)Kristen Lauren Mccartney

Secondary Practice Locations 4

Location 11520 Sunday DrRaleigh, NC 27607-5253 · Phone (919) 782-3456
Location 24111 Ben Franklin BlvdDurham, NC 27704-2141 · Phone (919) 782-3456
Location 3601 Elmwood Ave, Box MEDRochester, NY 14642-0001 · Phone (585) 275-2222
Location 410305 Hamptons Park Dr Ste 101Huntersville, NC 28078-7221 · Phone (704) 316-5388 · Fax (704) 316-1848

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristen Mccartney Widmer M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840534954
PECOS Enrollment IDI20231004003385
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services68 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
60 services60 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
34 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services30 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
27 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physician Assistant
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Nurse Practitioner (Family)
1540 SUNDAY DR
RALEIGH, NC 27607
Physician Assistant
1540 SUNDAY DR
RALEIGH, NC 27607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Widmer's NPI number?

The NPI number for Kristen Widmer is 1043665201. It was assigned to this individual provider in the NPPES registry on April 25, 2016. The provider is also known as Kristen Lauren Mccartney.

Where is Kristen Widmer located?

Kristen Widmer practices at 1540 Sunday Dr, Raleigh, NC 27607. The listed phone number is (919) 782-3456.

What is Kristen Widmer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kristen Widmer enrolled in Medicare?

Yes. Kristen Widmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristen Widmer accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Kristen Widmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristen Widmer affiliated with any hospitals?

According to CMS data, Kristen Widmer is affiliated with Wakemed, Raleigh Campus, Rex Hospital and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Widmer was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.