DR. KEVIN M SUPPLE MD
NPI 1326049412
Orthopaedic Surgery - Sports Medicine in Greensboro, NC

Q: What is the provider's specialty?

The provider's specialty is Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment

3200 NORTHLINE AVE, SUITE 200, GREENSBORO, NC 27408(336) 545-5000(336) 545-5020 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Kevin M Supple Md NPPES

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

DR. KEVIN M SUPPLE MD (NPI 1326049412) is an individual sports medicine provider in Greensboro, North Carolina, licensed in North Carolina (36604) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of University Of Southern California Keck School Of Medicine (1988).

NPPES Registry Identity

NPI1326049412

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. KEVIN M SUPPLECredential: MD

Location Address3200 NORTHLINE AVE, SUITE 200Greensboro, NC 27408-7616

Mailing AddressPo Box 38008Greensboro, NC 27438-8008 · (336) 545-5000 · Fax (336) 545-5020

Phone(336) 545-5000

Fax(336) 545-5020

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1988

Enumeration DateAugust 10, 2005

Last NPPES UpdateFebruary 24, 2022

NPPES CertifiedFebruary 24, 2022

✔ NPI 1326049412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in NC · 36604

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedSpecialistTaxonomy 174400000X · License 36604 (NC)

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 36604 (NC)

3200 NORTHLINE AVE, Greensboro, NC 27408

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Other Identifiers 1

Medicaid8981007NC

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 and accepts Medicare assignment

Dr. Kevin M Supple 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 ID2860493228

PECOS Enrollment IDI20100113000065

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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

262 services148 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

154 services44 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

127 services107 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

107 services84 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

102 services89 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

61 services31 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

58 services49 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

49 services47 patients

New patient office or other outpatient visit, 45-59 minutes 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.

46 services46 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

13 services13 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

12 services12 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

11 services11 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair) NAN17

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

0 services38 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

2 suppliers12 claims12 services$107.41 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.

JAMES P APLINGTON

Orthopaedic Surgery

3200 NORTHLINE AVE, STE 200
GREENSBORO, NC 27408

Guilford County (336) 545-5000

DR. JEFFREY CARLTON BEANE MD

Orthopaedic Surgery

3200 NORTHLINE AVE, STE 200
GREENSBORO, NC 27408

Guilford County (336) 545-5000

DR. FRANK V ALUISIO MD

Orthopaedic Surgery

3200 NORTHLINE AVE, SUITE 200
GREENSBORO, NC 27408

Guilford County (336) 545-5000

MR. MATTHEW D. OLIN MD

Orthopaedic Surgery

3200 NORTHLINE AVE, STE 200
GREENSBORO, NC 27408

Guilford County (336) 545-5000

MR. MICHAEL BAGNOLI PT

Physical Therapist

3200 NORTHLINE AVE, STE 160
GREENSBORO, NC 27408

Guilford County (336) 545-5000

AMY L ELLINGTON PT

Physical Therapist

3200 NORTHLINE AVE, STE 160
GREENSBORO, NC 27408

Guilford County (336) 545-5000

DOOLEY LAFAYETTE UNDERWOOD III PA

Physician Assistant

3200 NORTHLINE AVE, STE 200
GREENSBORO, NC 27408

Guilford County (336) 545-5000

THOMAS BRADLEY DIXON PA

Physician Assistant

3200 NORTHLINE AVE, STE 200
GREENSBORO, NC 27408

Guilford County (336) 545-5000

DR. KEVIN M SUPPLE MD
NPI 1326049412
Orthopaedic Surgery - Sports Medicine in Greensboro, NC

About Dr. Kevin M Supple Md NPPES

NPPES Registry Identity

Specialties & Licenses 3

Other Identifiers 1

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 14

Hospital Affiliations CMS Care Compare

Moses H. Cone Memorial Hospital, The

Referred Medical Equipment & Supplies CMS DME claims

Other Providers at the Same Location NPPES 20

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