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

Q: 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.

Q: What is Brian Kersten's specialty?

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

Q: 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

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

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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, maintains 4 additional practice locations, and is a graduate of Medical College Of Ohio (2000).

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

Medical School CMSMedical College Of OhioGraduated 2000

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

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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 and more.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

Brian Paul Kersten 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 ID42201444

PECOS Enrollment IDI20040524000741

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 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

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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)