ALEX KIRBY MD
NPI 1356305676
Internal Medicine - Interventional Cardiology in New Bern, NC

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
47.59/100
CMS Quality Rating
1001 NEWMAN RD, NEW BERN, NC 28562(252) 635-6777(252) 634-3183 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2017, Mar 17, 2017 (2 updates tracked since 2017).

About Alex Kirby Md NPPES

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

ALEX KIRBY MD (NPI 1356305676) is an individual interventional cardiology provider in New Bern, North Carolina, licensed in North Carolina (200300631) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Brody School Of Medicine At East Carolina University (1996).

NPPES Registry Identity

NPI1356305676
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameALEX KIRBYCredential: MD
Location Address1001 NEWMAN RDNew Bern, NC 28562-5253
Mailing AddressPo Box 896206Charlotte, NC 28289-6206 · (252) 635-6777 · Fax (252) 634-3183
Fax(252) 634-3183
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1996
Enumeration DateApril 13, 2006
Last NPPES UpdateDecember 7, 20172 updates tracked since enumeration
NPI 1356305676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NC · 200300631
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 200300631 (NC)
1001 NEWMAN RD, New Bern, NC 28562

Other Identifiers 2

Medicaid8913469NC
Other13469NC · Bcbs

Accepted 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

Alex Kirby 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 ID1658284351
PECOS Enrollment IDI20031110000131
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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
209 services186 patients
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.
160 services148 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.
113 services100 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
59 services59 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
45 services11 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
43 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$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.

47.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.48
Promoting Interoperability0
Improvement Activities40
Cost65.16

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Adult Health)
1001 NEWMAN RD
NEW BERN, NC 28562
Physician Assistant
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
1001 NEWMAN RD
NEW BERN, NC 28562
Nurse Practitioner
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Clinical Cardiac Electrophysiology)
1001 NEWMAN RD
NEW BERN, NC 28562
Nurse Practitioner (Acute Care)
1001 NEWMAN RD
NEW BERN, NC 28562

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 Alex Kirby's NPI number?

The NPI number for Alex Kirby is 1356305676. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Alex Kirby located?

Alex Kirby practices at 1001 Newman Rd, New Bern, NC 28562. The listed phone number is (252) 635-6777.

What is Alex Kirby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Alex Kirby enrolled in Medicare?

Yes. Alex Kirby 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 Alex Kirby accept?

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

According to CMS data, Alex Kirby is affiliated with Carolina East Medical Center and Carteret General Hospital.

When was this NPI record last updated?

The NPPES record for Alex Kirby was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.