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RONALD DESROUILLERES DO
NPI 1285139410
Family Medicine in Matthews, NC

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: October 18, 2026.

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

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 maintains 3 additional practice locations.

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17600 River RdNorth Bergen, NJ 07047-6217 · Phone (201) 854-5000
Location 2462 Grider StBuffalo, NY 14215 · Phone (716) 831-8612
Location 32350 Ridgeway Ave Ste ARochester, NY 14626-4127 · Phone (585) 922-2440

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, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ronald Desrouilleres reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Family Medicine
4105 MATTHEWS MINT HILL RD
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1871065318 (704) 316-3095
Rochester General Hospital
571 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Which organizations bill Medicare for Ronald Desrouilleres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Desrouilleres reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Matthews, NC) and Rochester General Hospital (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Desrouilleres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Desrouilleres accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare 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 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.