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MICHAEL ROBERT KOERNER MD
NPI 1255779567
Orthopaedic Surgery in Greenville, NC

Active since June 08, 2013PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
503 BOWMAN GRAY DR, GREENVILLE, NC 27834(252) 816-4001 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2022, Dec 16, 2020, Mar 29, 2018 (3 updates tracked since 2018).

About Michael Robert Koerner Md NPPES

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

MICHAEL ROBERT KOERNER MD (NPI 1255779567) is an individual orthopaedic surgery provider in Greenville, North Carolina, licensed in South Carolina (35824) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255779567
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL ROBERT KOERNERCredential: MD
Location Address503 BOWMAN GRAY DRGreenville, NC 27834-7286
Mailing Address503 Bowman Gray DrGreenville, NC 27834-7286 · (252) 816-4001
Phone(252) 816-4001
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 8, 2013
Last NPPES UpdateJanuary 12, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1255779567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in SC · 35824
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
503 BOWMAN GRAY DR, Greenville, NC 27834
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Michael Robert Koerner 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 ID7315171071
PECOS Enrollment IDI20190909002417
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 9

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.

X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
65 services33 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.
53 services53 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.
26 services26 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
25 services25 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
24 services14 patients
X-ray of pelvis, minimum of 3 views 72190
An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.
20 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$24.57 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$11.10 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.

KELLI STARR OLDHAM
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
ASHLEY NICOLE PALDINO NP
Nurse Practitioner (Acute Care)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MR. SHAWN ALAN MCCARTHY PA-C, ATC
Physician Assistant (Surgical)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-4001
SHANNON WRIGHT LONGSHORE M.D.
Surgery (Pediatric Surgery)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MRS. TRACY COLLINS PATERSON FNP
Nurse Practitioner (Family)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
DR. FRANCES CHINENYE OKOLO M.D.
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
COLLEEN SOLES BUCHER RDN LDN
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
THOMAS BART SATTERFIELD PA-C
Physician Assistant
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-4001

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 Michael Koerner's NPI number?

The NPI number for Michael Koerner is 1255779567. It was assigned to this individual provider in the NPPES registry on June 8, 2013.

Where is Michael Koerner located?

Michael Koerner practices at 503 Bowman Gray Dr, Greenville, NC 27834. The listed phone number is (252) 816-4001.

What is Michael Koerner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Koerner enrolled in Medicare?

Yes. Michael Koerner 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 Michael Koerner accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Michael Koerner 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 Michael Koerner affiliated with any hospitals?

According to CMS data, Michael Koerner is affiliated with Unc Health Wayne, Ecu Health Medical Center, Vidant Edgecombe Hospital and Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Michael Koerner was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.