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KATHRYN M. BAERMAN MD
NPI 1356560049
Surgery in Durham, NC

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
120 WILLIAM PENN PLZ, DURHAM, NC 27704(919) 220-5255(919) 313-1276 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn M. Baerman Md NPPES

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

KATHRYN M. BAERMAN MD (NPI 1356560049) is an individual surgery provider in Durham, North Carolina, licensed in North Carolina (2008-01027) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2001).

NPPES Registry Identity

NPI1356560049
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKATHRYN M. BAERMANCredential: MD
Location Address120 WILLIAM PENN PLZDurham, NC 27704-2150
Mailing Address120 William Penn PlzDurham, NC 27704-2150 · (919) 220-5255 · Fax (919) 313-1276
Phone(919) 220-5255
Fax(919) 313-1276
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2001
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 17, 2013
✔ NPI 1356560049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2008-01027
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
120 WILLIAM PENN PLZ, Durham, NC 27704
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Other Identifiers 3

Medicaid5910474NC
Medicare PINNC6001ANC
Medicare UPIN14932UNC

Accepted Insurance

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

Kathryn M. Baerman 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 ID5496822256
PECOS Enrollment IDI20080919000132
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 4

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 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.
99 services66 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.
33 services27 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.
30 services30 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC
OwnershipProprietary
CMS Certification Number340049
Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

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.

MS. ROBIN TIERNEY CONRADI PT
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255
MRS. KRISTIN VERNICE WYLIE MSPT
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255
NANCY N. BELDING LPT
Occupational Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255
LINDY NOELLE KYGER PA-C
Physician Assistant
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255
LINDA R. BELHORN M.D.
Internal Medicine (Rheumatology)
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255
MICHELLE NICOLE ALBY DPT
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255
MRS. KELLY L MCLAUGHLIN P.T., ATC
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255
THOMAS ALVA DIMMIG M.D.
Orthopaedic Surgery
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Durham County (919) 220-5255

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 Kathryn Baerman's NPI number?

The NPI number for Kathryn Baerman is 1356560049. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Kathryn Baerman located?

Kathryn Baerman practices at 120 William Penn Plz, Durham, NC 27704. The listed phone number is (919) 220-5255.

What is Kathryn Baerman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kathryn Baerman enrolled in Medicare?

Yes. Kathryn Baerman 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 Kathryn Baerman accept?

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

According to CMS data, Kathryn Baerman is affiliated with Duke University Hospital and North Carolina Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Baerman was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.