KENNETH G. COGGINS MD
NPI 1245257682
Internal Medicine - Pulmonary Disease in Charlotte, NC

Q: What is Kenneth Coggins's NPI number?

The NPI number for Kenneth Coggins is 1245257682. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Kenneth Coggins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Coggins was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1237 HARDING PL, STE 3200, CHARLOTTE, NC 28204(704) 355-5375 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, May 12, 2023, Mar 15, 2023 and 50 more (53 updates tracked since 2016).

On this page

About Kenneth G. Coggins Md NPPES

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

KENNETH G. COGGINS MD (NPI 1245257682) is an individual pulmonary disease provider in Charlotte, North Carolina, licensed in North Carolina (9700824) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245257682

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameKENNETH G. COGGINSCredential: MD

Location Address1237 HARDING PL, STE 3200Charlotte, NC 28204

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 355-5375

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1994

Enumeration DateJuly 15, 2006

Last NPPES UpdateJuly 22, 202453 updates tracked since enumeration

✔ NPI 1245257682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NC · 9700824

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 9700824 (NC)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 9700824 (NC)

1237 HARDING PL, Charlotte, NC 28204

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490

Location 2920 Church St NConcord, NC 28025-2927 · Phone (704) 403-1311

Location 31021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000

Location 410650 Park Rd, Ste 300Charlotte, NC 28210-8538 · Phone (704) 667-3925

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Kenneth G. Coggins Md 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 ID4789662503

PECOS Enrollment IDI20040708001517

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 11

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.

183 services105 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

113 services92 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

75 services71 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

71 services66 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.

71 services57 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

30 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340021

Location201 E Grover StShelby, NC 28150 · Cleveland County

Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg 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 Union

Acute Care Hospitals · Monroe, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340130

Location600 Hospital DrMonroe, NC 28112 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 28

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

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims792 services$2.58 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers18 claims18 services$29.91 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier12 claims712 services$5.38 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

1 supplier11 claims1,027 services$2.17 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

1 supplier12 claims48 services$3.31 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims1,200 services$0.04 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

1 supplier11 claims44 services$6.77 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

1 supplier11 claims22 services$3.15 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers18 claims25 services$1.22 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers18 claims18 services$43.93 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers15 claims15 services$16.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers25 claims141 services$1.61 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers13 claims13 services$11.18 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers49 claims49 services$15.02 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims24 services$922.57 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers56 claims56 services$841.96 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers38 claims38 services$4.71 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

15 suppliers175 claims175 services$67.67 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

9 suppliers91 claims91 services$30.01 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers20 claims1,200 services$6.43 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers24 claims7,949 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers54 claims5,701 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers15 claims1,266 services$0.81 avg. paid by Medicare

Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7639

DME-Drugs Administered Through DME · category DG000N

1 supplier11 claims825 services$38.19 avg. paid by Medicare

Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams J7682

DME-Drugs Administered Through DME · category DG000N

2 suppliers12 claims672 services$20.11 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

4 suppliers44 claims44 services$28.78 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

15 suppliers90 claims90 services$25.18 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

5 suppliers11 claims11 services$42.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

LAUREN MICHELLE RAMSEY PA

Physician Assistant

1237 HARDING PL, STE 4300
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

JOHN MICHAEL FEDOR MD

Internal Medicine (Cardiovascular Disease)

1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

ELIZABETH OLUDAYO WILSON-DURHAM FNP

Nurse Practitioner (Family)

1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

ELLEN BARBOUR PRICE NP

Nurse Practitioner

1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

JAI SINGH MD

Internal Medicine (Cardiovascular Disease)

1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

JORGE ROBINSON ALEGRIA BOBADILLA MD

Internal Medicine (Cardiovascular Disease)

1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

JEKO METODIEV MADJAROV MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

WILLIAM EDWARD DOWNEY MD

Internal Medicine (Cardiovascular Disease)

1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

Mecklenburg County (704) 373-0212

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 Kenneth Coggins's NPI number?

The NPI number for Kenneth Coggins is 1245257682. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Kenneth Coggins located?

Kenneth Coggins practices at 1237 Harding Pl Ste 3200, Charlotte, NC 28204. The listed phone number is (704) 355-5375.

What is Kenneth Coggins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kenneth Coggins enrolled in Medicare?

Yes. Kenneth Coggins 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 Kenneth Coggins accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Kenneth Coggins 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 Kenneth Coggins affiliated with any hospitals?

According to CMS data, Kenneth Coggins is affiliated with Carolinas Medical Center-Northeast, Atrium Health Cleveland, Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Kenneth Coggins was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.