BRIAN KEITH JEFFERSON NP
NPI 1093886996
Nurse Practitioner in Concord, NC

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
200 MEDICAL PARK DR, STE 430, CONCORD, NC 28025(704) 403-5890 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 46 more (49 updates tracked since 2018).

About Brian Keith Jefferson Np NPPES

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

BRIAN KEITH JEFFERSON NP (NPI 1093886996) is an individual nurse practitioner in Concord, North Carolina, licensed in North Carolina (5002525) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1093886996
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRIAN KEITH JEFFERSONCredential: NP
Location Address200 MEDICAL PARK DR, STE 430Concord, NC 28025-2982
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2006
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 15, 202449 updates tracked since enumeration
NPI 1093886996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5002525
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5002525 (NC)
200 MEDICAL PARK DR, Concord, NC 28025

Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 2100 Medical Park Dr, Ste 110Concord, NC 28025-2948 · Phone (704) 403-1370
Location 31025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-1813
Location 4920 Church St NConcord, NC 28025-2927 · Phone (704) 403-1311

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

Brian Keith Jefferson Np 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 ID1951408699
PECOS Enrollment IDI20070515000202
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
62 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

Surgery
200 MEDICAL PARK DR, SUITE 430
CONCORD, NC 28025
Internal Medicine (Infectious Disease)
200 MEDICAL PARK DR, STE 208, NORTHEAST INFECTIOUS DISEASES
CONCORD, NC 28025
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Physician Assistant
200 MEDICAL PARK DR
CONCORD, NC 28025
Nurse Practitioner
200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY
CONCORD, NC 28025
Internal Medicine
200 MEDICAL PARK DR, STE 300
CONCORD, NC 28025
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Internal Medicine
200 MEDICAL PARK DR, STE 550
CONCORD, NC 28025

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 Brian Jefferson's NPI number?

The NPI number for Brian Jefferson is 1093886996. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Brian Jefferson located?

Brian Jefferson practices at 200 Medical Park Dr Ste 430, Concord, NC 28025. The listed phone number is (704) 403-5890.

What is Brian Jefferson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brian Jefferson enrolled in Medicare?

Yes. Brian Jefferson 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 Brian Jefferson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Brian Jefferson 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 Brian Jefferson affiliated with any hospitals?

According to CMS data, Brian Jefferson is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Brian Jefferson was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.