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DR. KENNETH DAVID BURGESS M. D.
NPI 1538147376
Family Medicine in Gastonia, NC

Active since January 03, 2006PECOS Enrolled
3845 SOUTH NEW HOPE ROAD, GASTONIA, NC 28056(704) 824-9119(704) 824-2401 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth David Burgess M. D. NPPES

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

DR. KENNETH DAVID BURGESS M. D. (NPI 1538147376) is an individual family medicine provider in Gastonia, North Carolina, licensed in North Carolina (32655) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538147376
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH DAVID BURGESSCredential: M. D.
Location Address3845 SOUTH NEW HOPE ROADGastonia, NC 28056
Mailing AddressPo Box 551178Gastonia, NC 28055-1178 · (704) 824-9119 · Fax (704) 824-2401
Phone(704) 824-9119
Fax(704) 824-2401
Sole ProprietorYes
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJuly 14, 2008
✔ NPI 1538147376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 32655
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3845 SOUTH NEW HOPE ROAD, Gastonia, NC 28056
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Other Identifiers 6

Other19982NC · Bcbs
OtherP00297412NC · Palmetto Gba
Other205144CNC · Medicare Ptan#
Medicare UPINC83057NC
Medicaid8919982NC
Medicare PIN205144CNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth David Burgess M. D. 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 Reassignment

Medicare enrollment records show Kenneth Burgess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caromont Medical Group Inc
Same address
Family Medicine
3845 S. NEW HOPE RD
Gastonia, NC 28056
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1285940445 (704) 824-9119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28056 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

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

GASTON FAMILY MEDICINE, P. A.
Family Medicine
3845 SOUTH NEW HOPE ROAD
GASTONIA, NC 28056
Gaston County (704) 824-9119

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 Kenneth Burgess's NPI number?

The NPI number for Kenneth Burgess is 1538147376. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Kenneth Burgess located?

Kenneth Burgess practices at 3845 South New Hope Road, Gastonia, NC 28056. The listed phone number is (704) 824-9119.

What is Kenneth Burgess's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Burgess enrolled in Medicare?

Yes. Kenneth Burgess is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Burgess reassigns Medicare benefits to Caromont Medical Group Inc (Gastonia, NC). The 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 Kenneth Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Burgess was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.