Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KIMBERLY DOTHA HOUGHTON MD
NPI 1598101503
Internal Medicine - Gastroenterology in Charlotte, NC

Active since May 16, 2013PECOS Enrolled
78.49/100
CMS Quality Rating
16817 MARVIN RD, CHARLOTTE, NC 28277(704) 495-6334(844) 620-0879 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, Aug 20, 2019 (2 updates tracked since 2019).

About Mrs. Kimberly Dotha Houghton Md NPPES

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

MRS. KIMBERLY DOTHA HOUGHTON MD (NPI 1598101503) is an individual gastroenterology provider in Charlotte, North Carolina, licensed in North Carolina (2026-03058) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Georgetown University School Of Medicine (2013).

NPPES Registry Identity

NPI1598101503
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMRS. KIMBERLY DOTHA HOUGHTONCredential: MD
Location Address16817 MARVIN RDCharlotte, NC 28277-2196
Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 495-6334
Fax(844) 620-0879
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2013
Enumeration DateMay 16, 2013
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1598101503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NC · 2026-03058✔ Licensed in AK · 141651
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 141651 (AK)
16817 MARVIN RD, Charlotte, NC 28277

Other Names 1

Former Name (1)Kimberly Dotha Christensen Md

Secondary Practice Locations 2

Location 16060 Piedmont Row Dr S Fl 10Charlotte, NC 28287-3893 · Phone (704) 495-6334 · Fax (844) 620-0933
Location 22841 Debarr Rd Suite 50Anchorage, AK 99508 · Phone (907) 276-2811 · Fax (907) 276-2810

Accepted 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

Mrs. Kimberly Dotha Houghton 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 ID9739483736
PECOS Enrollment IDI20191030000229
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 12

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 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.
80 services71 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
55 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
50 services48 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
45 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
32 services31 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.

78.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.22
Improvement Activities40
Cost42.04

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Gastroenterology)
16817 MARVIN RD
CHARLOTTE, NC 28277
Nurse Practitioner (Family)
16817 MARVIN RD
CHARLOTTE, NC 28277
Internal Medicine
16817 MARVIN RD
CHARLOTTE, NC 28277
Internal Medicine
16817 MARVIN RD
CHARLOTTE, NC 28277
Internal Medicine (Gastroenterology)
16817 MARVIN RD
CHARLOTTE, NC 28277
Dermatology
16817 MARVIN RD
CHARLOTTE, NC 28277
Internal Medicine
16817 MARVIN RD
CHARLOTTE, NC 28277
Internal Medicine
16817 MARVIN RD
CHARLOTTE, NC 28277

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 Kimberly Houghton's NPI number?

The NPI number for Kimberly Houghton is 1598101503. It was assigned to this individual provider in the NPPES registry on May 16, 2013. The provider is also known as Kimberly Dotha Christensen MD.

Where is Kimberly Houghton located?

Kimberly Houghton practices at 16817 Marvin Rd, Charlotte, NC 28277. The listed phone number is (704) 495-6334.

What is Kimberly Houghton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kimberly Houghton enrolled in Medicare?

Yes. Kimberly Houghton 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.

What insurance does Kimberly Houghton accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Kimberly Houghton 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 Kimberly Houghton was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.