CAROL H KAUFMAN MD
NPI 1194786459
Family Medicine in Black Mountain, NC

NPI Status: Active since March 28, 2006

Contact Information

201 TABERNACLE RD
JULIAN F. KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER
BLACK MOUNTAIN, NC
ZIP 28711
Phone: (828) 257-6242

Get Directions Reviews

  • Individual
  • Female
  • Family Medicine
  • PECOS Enrolled

About CAROL KAUFMAN

Carol Kaufman is a primary care provider established in Black Mountain, North Carolina and her medical specialization is Family Medicine. The healthcare provider is registered in the NPI registry with number 1194786459 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 25338 (NC). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1194786459
Provider Name
CAROL H KAUFMAN MD
Gender
Female
Entity Type
Individual
Location Address
201 TABERNACLE RD JULIAN F. KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER BLACK MOUNTAIN, NC 28711
Location Phone
(828) 257-6242
Mailing Address
201 TABERNACLE RD. JULIAN F. KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER BLACK MOUNTAIN, NC 28711
Mailing Phone
(828) 257-6242
Is Sole Proprietor?
No
Enumeration Date
03-28-2006
Last Update Date
08-13-2010
Code Navigator

A primary care provider (PCP) like Carol Kaufman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
25338
License State
NC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C81374MEDICARE UPIN (02)NC 
8901209MEDICAID (05)NC 
202629CMEDICARE PIN (08)NC 

PECOS Enrollment and Medicare Participation Status

Carol Kaufman 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28711 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.2
  • Minimum New Patient Price $56.51
  • Maximum New Patient Price $172.65
  • Average New Patient Copayment $21.8
  • Minimum New Patient Copayment $14.12
  • Maximum New Patient Copayment $43.16

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.83
  • Minimum Established Patient Price $17.43
  • Maximum Established Patient Price $140.98
  • Average Established Patient Copayment $25.2
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $35.24

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

Reviews for CAROL H KAUFMAN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1194786459
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118414812410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 4 + 8 + 1 + 2 + 4 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1194786459 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518084607 GEORGE ERNEST OWENSBY NURSE PRACTITIONER
Individual
Nurse Practitioner201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 669-3418
1962529099DR. DANIEL BLAKE M.D.
Individual
Psychiatry & Neurology (Addiction Medicine)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 669-3480
1528186244 MARY TURNER FNP
Individual
Nurse Practitioner (Family)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 669-3493
1689793838 EILEEN KLEIN EUDY PA-C
Individual
Physician Assistant (Medical)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 669-3465
1346369816 KENNETH TABER LENINGTON M.D.
Individual
Psychiatry & Neurology (Psychiatry)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 669-3474
1679692511 WALLY STURGIS PA
Individual
Physician Assistant (Medical)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 669-3496
1093149775MR. ROCKY BEAUCHANE MORRIS LPC, LCAS
Individual
Counselor (Professional)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6352
1063802999JULIAN F. KEITH ALCOHOL & DRUG ABUSE TREATMENT CENTER
Organization
Pharmacy (Institutional Pharmacy)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6320
1669590055DR. LAUREL EVANS BROADHURST M.D.
Individual
Psychiatry & Neurology (Addiction Medicine)201 TABERNACLE RD JFK-ADATC
BLACK MOUNTAIN, NC 28711
(828) 669-3455
1548638018 KELLY GERMAN PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6200
1326455635 VERONICA LYNN JOHNSON PMHNP-BC, FNP-C
Individual
Nurse Practitioner (Family)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6200
1164675153 SAERI LEE WREN PA-C
Individual
Physician Assistant201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6200
1104071851DR. VIVIAN RUTH POETTER MD
Individual
General Practice201 TABERNACLE RD JFK ALCOHOL AND DRUG ABUSE TREATMENT CENTER
BLACK MOUNTAIN, NC 28711
(828) 257-6228
1619229614 CAROLYN SUE ANDERSON RN, PHMNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6200
1922016773 STEVEN DONALD BUSER MD
Individual
Psychiatry & Neurology (Psychiatry)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6200
1932226073 SUSAN KOSTENKO M.D.
Individual
Psychiatry & Neurology (Addiction Psychiatry)201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 669-3481
1528667763JULIAN F KEITH ALCOHOL AND DRUG ABUSE TREATMENT CENTER
Organization
Community/Behavioral Health201 TABERNACLE RD
BLACK MOUNTAIN, NC 28711
(828) 257-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194786459, enumerated in the NPI registry as an "individual" on March 28, 2006

The provider is located at 201 Tabernacle Rd Julian F. Keith Alcohol And Drug Abuse Treatment Center Black Mountain, Nc 28711 and the phone number is (828) 257-6242

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $100.83 and an average copayment of 25.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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