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BRIAN PAUL KERSTEN MD
NPI 1437177474
Internal Medicine in Charlotte, NC

Active since July 17, 2006PECOS Enrolled
95.35/100
CMS Quality Rating
15110 JOHN J DELANEY DR, STE 200, CHARLOTTE, NC 28277(704) 302-8100 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 55 more (58 updates tracked since 2018).

About Brian Paul Kersten Md NPPES

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

BRIAN PAUL KERSTEN MD (NPI 1437177474) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (200200132) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1437177474
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN PAUL KERSTENCredential: MD
Location Address15110 JOHN J DELANEY DR, STE 200Charlotte, NC 28277-3544
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 302-8100
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 15, 202458 updates tracked since enumeration
✔ NPI 1437177474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 200200132
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15110 JOHN J DELANEY DR, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1181 Daniel RdForest City, NC 28043-7151 · Phone (828) 286-9036
Location 22001 Vail Ave, Ste 400Charlotte, NC 28207-1248 · Phone (704) 304-7000
Location 3270 Copperfield Blvd NE, Ste 102Concord, NC 28025-2441 · Phone (704) 786-6521
Location 4332 N Trade St, Ste 2000Matthews, NC 28105-1728 · Phone (704) 302-8500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Paul Kersten Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Brian Kersten reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Clinical Neurophysiology
15110 JOHN J DELANEY DR, STE 200
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1700111515 (704) 377-9323
Carolinas Medical Center
0.5 mi
Psychiatry
7825 BALLANTYNE COMMONS PKWY, SUITE 110
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1427303056 (704) 446-8031
The Charlotte-Mecklenburg Hospital Authority
0.5 mi
Addiction (Substance Use Disorder)
7825 BALLANTYNE COMMONS PKWY, STE 110
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1124593470 (704) 446-0391

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 3

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 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.
21 services21 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers34 claims94 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims23 services$1.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims22 services$181.19 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.

LAURA HINES LOWDER MD
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100
PRIYA BAJAJ PILLAI MD
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100
NAVID JALALI MD
Psychiatry & Neurology (Neurology)
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 377-9323
SYDNEY MARIE CAPODICASA NP
Nurse Practitioner
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
RHONDA SUE ARDELEAN PA
Physician Assistant
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
SHALINEE JHA MD
Internal Medicine
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
SUNIA AYEZA PERVEZ MD
Hospitalist
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
JOHN G PHILLIPS M. D.
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100

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 Brian Kersten's NPI number?

The NPI number for Brian Kersten is 1437177474. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Brian Kersten located?

Brian Kersten practices at 15110 John J Delaney Dr Ste 200, Charlotte, NC 28277. The listed phone number is (704) 302-8100.

What is Brian Kersten's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Kersten enrolled in Medicare?

Yes. Brian Kersten is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Kersten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Kersten reassigns Medicare benefits to 3 organizations: Carolinas Physicians Network Inc (Charlotte, NC), Carolinas Medical Center (Charlotte, NC) and The Charlotte-Mecklenburg Hospital Authority (Charlotte, 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 Brian Kersten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Kersten accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and InStil Health list Brian Kersten 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.

When was this NPI record last updated?

The NPPES record for Brian Kersten was last updated on July 15, 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.