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DR. KEVIN CHRISTOPHER COUGHLIN M.D.
NPI 1306297841
Otolaryngology in Charlotte, NC

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
13532 STEELECROFT PKWY, CHARLOTTE, NC 28278(704) 295-3475(704) 295-3476 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Jun 22, 2023, Oct 28, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Kevin Christopher Coughlin M.d. NPPES

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

DR. KEVIN CHRISTOPHER COUGHLIN M.D. (NPI 1306297841) is an individual otolaryngology provider in Charlotte, North Carolina, licensed in North Carolina (2023-00810) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306297841
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEVIN CHRISTOPHER COUGHLINCredential: M.D.
Location Address13532 STEELECROFT PKWYCharlotte, NC 28278-7545
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468
Phone(704) 295-3475
Fax(704) 295-3476
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2023
Enumeration DateJune 27, 2016
Last NPPES UpdateNovember 15, 20246 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1306297841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in NC · 2023-00810✔ Licensed in TN · 66570
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 2023-00810 (NC), 66570 (TN)
13532 STEELECROFT PKWY, Charlotte, NC 28278
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Secondary Practice Locations 2

Location 16035 Fairview RdCharlotte, NC 28210-3256 · Phone (704) 295-3000 · Fax (704) 295-3468
Location 2400 Park StBelmont, NC 28012-3368 · Phone (704) 295-3700 · Fax (704) 295-3707

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next 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

Dr. Kevin Christopher Coughlin 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 ID3375810682
PECOS Enrollment IDI20230908000168, I20230908000227
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.

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.
274 services196 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.
232 services188 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.
147 services147 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
132 services106 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
74 services66 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
74 services74 patients

Hospital Affiliations CMS Care Compare 4

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg 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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28278 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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. STEVEN B HEAVNER MD
Otolaryngology
13532 STEELECROFT PKWY
CHARLOTTE, NC 28278
Mecklenburg County (704) 295-3475
DR. JOHN BRADLEY ALLEN MD
Ophthalmology
13532 STEELECROFT PKWY
CHARLOTTE, NC 28278
Mecklenburg County (704) 295-3475
KELLY ANN DOTY OD
Optometrist
13532 STEELECROFT PKWY
CHARLOTTE, NC 28278
Mecklenburg County (704) 295-3475

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 Kevin Coughlin's NPI number?

The NPI number for Kevin Coughlin is 1306297841. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Kevin Coughlin located?

Kevin Coughlin practices at 13532 Steelecroft Pkwy, Charlotte, NC 28278. The listed phone number is (704) 295-3475.

What is Kevin Coughlin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kevin Coughlin enrolled in Medicare?

Yes. Kevin Coughlin 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 Kevin Coughlin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Molina Healthcare and 1 other insurer list Kevin Coughlin 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 Kevin Coughlin affiliated with any hospitals?

According to CMS data, Kevin Coughlin is affiliated with Novant Health Presbyterian Medical Center, Atrium Health Pineville, Carolinas Medical Center/Behav Health and Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Coughlin was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.