DR. ALAN P. ZAUSNER SKARBNIK MD
NPI 1366754954
Internal Medicine - Hematology in Charlotte, NC

Active since July 12, 2010PECOS EnrolledAccepts Medicare Assignment
125 QUEENS RD STE 610, CHARLOTTE, NC 28204(980) 302-6600(980) 302-6605 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2024, Jun 25, 2024, Aug 20, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Alan P. Zausner Skarbnik Md NPPES

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

DR. ALAN P. ZAUSNER SKARBNIK MD (NPI 1366754954) is an individual hematology provider in Charlotte, North Carolina, licensed in North Carolina (2018-02340) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1366754954
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. ALAN P. ZAUSNER SKARBNIKCredential: MD
Location Address125 QUEENS RD STE 610Charlotte, NC 28204-3580
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(980) 302-6605
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 12, 2010
Last NPPES UpdateJuly 11, 20247 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1366754954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in NC · 2018-02340
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License MT197931 (PA), 25MA09451700 (NJ), 2018-02340 (NC)
125 QUEENS RD STE 610, Charlotte, NC 28204

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alan P. Zausner Skarbnik 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 ID9133361132
PECOS Enrollment IDI20181213002361
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 Alan Zausner Skarbnik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
125 QUEENS RD
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Neurology
612 MOCKSVILLE AVE.
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 686 clinicians in this Medicare group

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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
409 services152 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
89 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

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 Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · 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 28204 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Medical Oncology)
125 QUEENS RD STE 610
CHARLOTTE, NC 28204
Nurse Practitioner
125 QUEENS RD STE 610
CHARLOTTE, NC 28204
Internal Medicine (Hematology)
125 QUEENS RD STE 610
CHARLOTTE, NC 28204
Nurse Practitioner
125 QUEENS RD STE 610
CHARLOTTE, NC 28204
Nurse Practitioner
125 QUEENS RD STE 610
CHARLOTTE, NC 28204
Internal Medicine (Hematology)
125 QUEENS RD STE 610
CHARLOTTE, NC 28204
Physician Assistant
125 QUEENS RD STE 610
CHARLOTTE, NC 28204
Nurse Practitioner
125 QUEENS RD STE 610
CHARLOTTE, NC 28204

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 Alan Zausner Skarbnik's NPI number?

The NPI number for Alan Zausner Skarbnik is 1366754954. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Alan Zausner Skarbnik located?

Alan Zausner Skarbnik practices at 125 Queens Rd Ste 610, Charlotte, NC 28204. The listed phone number is (980) 302-6600.

What is Alan Zausner Skarbnik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Alan Zausner Skarbnik enrolled in Medicare?

Yes. Alan Zausner Skarbnik 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.

Which organizations bill Medicare for Alan Zausner Skarbnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Zausner Skarbnik reassigns Medicare benefits to 2 organizations: The Presbyterian Hospital (Charlotte, NC) and Novant Health Rowan Medical Center LLC (Salisbury, NC). 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 Alan Zausner Skarbnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alan Zausner Skarbnik accept?

Health plans from Blue Cross and Blue Shield of NC list Alan Zausner Skarbnik 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 Alan Zausner Skarbnik affiliated with any hospitals?

According to CMS data, Alan Zausner Skarbnik is affiliated with Novant Health Presbyterian Medical Center, Novant Health Thomasville Medical Center, Novant Health Matthews Medical Center, Novant Health Huntersville Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for Alan Zausner Skarbnik was last updated on July 11, 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.