CHARLES SAMUEL KUZMA M.D.
NPI 1063469856
Internal Medicine - Hematology & Oncology in Pinehurst, NC

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
88.32/100
CMS Quality Rating
220 PAGE RD, PINEHURST, NC 28374(910) 715-3500(910) 715-3501 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Samuel Kuzma M.d. NPPES

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

CHARLES SAMUEL KUZMA M.D. (NPI 1063469856) is an individual hematology & oncology provider in Pinehurst, North Carolina, licensed in North Carolina (2009-00759) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Temple University School Of Medicine (1992).

NPPES Registry Identity

NPI1063469856
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameCHARLES SAMUEL KUZMACredential: M.D.
Location Address220 PAGE RDPinehurst, NC 28374-8748
Mailing Address205 Page RoadPinehurst, NC 28374-8798 · (910) 295-5511
Fax(910) 715-3501
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1992
Enumeration DateMay 28, 2006
Last NPPES UpdateJanuary 24, 2018
NPI 1063469856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in NC · 2009-00759 Licensed in CA · G87657
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
220 PAGE RD, Pinehurst, NC 28374

Other Identifiers 3

OtherFH2967790Firstcarolinacare Provider#
Other153ATBc/bs Nc Provider#
OtherN0075KSC · Sc Medicaid Provider#

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

Charles Samuel Kuzma 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 ID8527073857
PECOS Enrollment IDI20090624000753
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 4

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.
282 services122 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.
244 services181 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.
56 services56 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.
51 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

88.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.79
Promoting Interoperability88
Improvement Activities40
Cost86.81

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
220 PAGE RD
PINEHURST, NC 28374
Internal Medicine (Hematology & Oncology)
220 PAGE RD
PINEHURST, NC 28374
Internal Medicine (Hematology & Oncology)
220 PAGE RD
PINEHURST, NC 28374
Obstetrics & Gynecology (Gynecologic Oncology)
220 PAGE RD
PINEHURST, NC 28374
Nurse Practitioner (Adult Health)
220 PAGE RD
PINEHURST, NC 28374

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 Charles Kuzma's NPI number?

The NPI number for Charles Kuzma is 1063469856. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Charles Kuzma located?

Charles Kuzma practices at 220 Page Rd, Pinehurst, NC 28374. The listed phone number is (910) 715-3500.

What is Charles Kuzma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Charles Kuzma enrolled in Medicare?

Yes. Charles Kuzma 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 Charles Kuzma 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 Charles Kuzma 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 Charles Kuzma affiliated with any hospitals?

According to CMS data, Charles Kuzma is affiliated with Unc Hospitals and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Charles Kuzma was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.