MICHAEL KITSON KACZMAREK M.D.
NPI 1376591149
Emergency Medicine in Concord, NC

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
1028 LEE ANN DR NE, SUITE 200, CONCORD, NC 28025(704) 782-1892 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Kitson Kaczmarek M.d. NPPES

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

MICHAEL KITSON KACZMAREK M.D. (NPI 1376591149) is an individual emergency medicine provider in Concord, North Carolina, licensed in North Carolina (200501956) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1376591149
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL KITSON KACZMAREKCredential: M.D.
Location Address1028 LEE ANN DR NE, SUITE 200Concord, NC 28025-2911
Mailing Address1028 Lee Ann Dr Ne, Suite 200Concord, NC 28025-2911 · (704) 782-1892
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 21, 2013
NPI 1376591149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 200501956
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1028 LEE ANN DR NE, Concord, NC 28025

Other Identifiers 6

Medicare PINP00307844
Medicare UPINH47752NC
Medicaid225474SC
Medicaid5903304NC
Medicare PIN2051491NC
Other141V9NC · Bcbs

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

Michael Kitson Kaczmarek 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 ID4981612736
PECOS Enrollment IDI20140422001508
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 5

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
272 services265 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
219 services203 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services84 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
35 services35 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$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 20

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

Internal Medicine (Cardiovascular Disease)
1028 LEE ANN DR NE, SUITE 100
CONCORD, NC 28025
Emergency Medicine
1028 LEE ANN DR NE, SUITE 201
CONCORD, NC 28025
Emergency Medicine
1028 LEE ANN DR NE, SUITE 200
CONCORD, NC 28025
Emergency Medicine
1028 LEE ANN DR NE, SUITE 200
CONCORD, NC 28025
Family Medicine
1028 LEE ANN DR NE, SUITE 100
CONCORD, NC 28025
Dentist (Orthodontics and Dentofacial Orthopedics)
1028 LEE ANN DR NE, SUITE 300
CONCORD, NC 28025
Internal Medicine (Cardiovascular Disease)
1028 LEE ANN DR NE, SUITE 100
CONCORD, NC 28025
Nurse Practitioner (Family)
1028 LEE ANN DR NE, SUITE 200
CONCORD, NC 28025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376591149, enumerated as an "individual" on May 04, 2006.

The provider is located at 1028 LEE ANN DR NE SUITE 200 CONCORD, NC 28025 and the phone number is (704) 782-1892.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.

Michael Kaczmarek is affiliated with: SELF REGIONAL HEALTHCARE.