DR. KYLE SCARBERRY M.D.
NPI 1215370606
Urology in Winston Salem, NC

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 716-4131(336) 713-0328 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2021, May 4, 2020, Apr 9, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Kyle Scarberry M.d. NPPES

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

DR. KYLE SCARBERRY M.D. (NPI 1215370606) is an individual urology provider in Winston Salem, North Carolina, licensed in North Carolina (2019-01271) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Lake Health, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2013).

NPPES Registry Identity

NPI1215370606
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. KYLE SCARBERRYCredential: M.D.
Location Address140 CHARLOIS BLVDWinston Salem, NC 27103-1522
Mailing Address11100 Euclid Ave Bldg 4554Cleveland, OH 44106-1716 · (216) 844-8570
Fax(336) 713-0328
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateJanuary 15, 20215 updates tracked since enumeration
NPPES CertifiedNovember 27, 2020
NPI 1215370606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NC · 2019-01271
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
140 CHARLOIS BLVD, Winston Salem, NC 27103

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

Dr. Kyle Scarberry 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 ID2860633716
PECOS Enrollment IDI20200810003304
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 15

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 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.
260 services163 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
145 services118 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.
87 services77 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 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.
59 services44 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
51 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Lake Health Beachwood Medical Center

Acute Care Hospitals · Beachwood, OH
OwnershipProprietary
CMS Certification Number360367
Location25501 Chagrin BlvdBeachwood, OH 44122 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
2 suppliers13 claims370 services$3.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Nurse Practitioner
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Student in an Organized Health Care Education/Training Program
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Physician Assistant
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Urology
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Nurse Practitioner
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Urology
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Student in an Organized Health Care Education/Training Program
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103

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 Kyle Scarberry's NPI number?

The NPI number for Kyle Scarberry is 1215370606. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Kyle Scarberry located?

Kyle Scarberry practices at 140 Charlois Blvd, Winston Salem, NC 27103. The listed phone number is (336) 716-4131.

What is Kyle Scarberry's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kyle Scarberry enrolled in Medicare?

Yes. Kyle Scarberry 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 Kyle Scarberry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Kyle Scarberry 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 Kyle Scarberry affiliated with any hospitals?

According to CMS data, Kyle Scarberry is affiliated with Lake Health, Uh Cleveland Medical Center, University Hospitals - Elyria Medical Center, University Hospitals Ahuja Medical Center and Lake Health Beachwood Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Scarberry was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.