RONALD DESROUILLERES DO
NPI 1285139410
Family Medicine in Matthews, NC

Q: What is Ronald Desrouilleres's NPI number?

The NPI number for Ronald Desrouilleres is 1285139410. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Ronald Desrouilleres's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 29, 2018PECOS Enrolled

95.19/100

CMS Quality Rating

4105 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105(704) 316-3095(704) 316-3096 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Aug 12, 2022, Jun 21, 2019 and 1 more (4 updates tracked since 2018).

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About Ronald Desrouilleres Do NPPES

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

RONALD DESROUILLERES DO (NPI 1285139410) is an individual family medicine provider in Matthews, North Carolina, licensed in North Carolina (2024-01643) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Novant Health Matthews Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285139410

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRONALD DESROUILLERESCredential: DO

Location Address4105 MATTHEWS MINT HILL RDMatthews, NC 28105-3633

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-3095

Fax(704) 316-3096

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 29, 2018

Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1285139410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2024-01643✔ Licensed in NY · 315392

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4105 MATTHEWS MINT HILL RD, Matthews, NC 28105

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald Desrouilleres Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193052421

PECOS Enrollment IDI20240826001433

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.

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.

60 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.

45 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340190

Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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.

95.19/100

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

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONIA DAVIS BAILEY FNP

Nurse Practitioner

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3095

CAROLINAS PHYSICIANS NETWORK INC.

Family Medicine

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 545-4609

LAURA IBANEZ HERRERA

Physician Assistant

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3095

DR. BETH L CARLSON M.D.

Family Medicine

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 384-9920

DR. KISHA ROCHELLE YOUNG M.D.

Family Medicine

4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105

Mecklenburg County (704) 384-9920

SEIJI BORJA FNP

Nurse Practitioner

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC 28105

Mecklenburg County (704) 316-3095

NOVANT MEDICAL GROUP, INC.

Family Medicine

4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105

Mecklenburg County (704) 384-9920

DR. LLOYD BRIDGES M.D.

Family Medicine

4105 MATTHEWS MINT HILL RD
MINT HILL, NC 28105

Mecklenburg County (704) 384-9920

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 Ronald Desrouilleres's NPI number?

The NPI number for Ronald Desrouilleres is 1285139410. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Ronald Desrouilleres located?

Ronald Desrouilleres practices at 4105 Matthews Mint Hill Rd, Matthews, NC 28105. The listed phone number is (704) 316-3095.

What is Ronald Desrouilleres's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ronald Desrouilleres enrolled in Medicare?

Yes. Ronald Desrouilleres is registered in the Medicare PECOS enrollment system.

What insurance does Ronald Desrouilleres accept?

Health plans from Blue Cross and Blue Shield of NC list Ronald Desrouilleres 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 Ronald Desrouilleres affiliated with any hospitals?

According to CMS data, Ronald Desrouilleres is affiliated with Novant Health Matthews Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for Ronald Desrouilleres was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.