PAUL JASON KERNER MD
NPI 1639160393
Orthopaedic Surgery in Durham, NC

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
120 WILLIAM PENN PLZ, DURHAM, NC 27704(919) 220-5255(919) 220-6971 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Jason Kerner Md NPPES

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

PAUL JASON KERNER MD (NPI 1639160393) is an individual orthopaedic surgery provider in Durham, North Carolina, licensed in North Carolina (2008-00627) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1997).

NPPES Registry Identity

NPI1639160393
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL JASON KERNERCredential: MD
Location Address120 WILLIAM PENN PLZDurham, NC 27704-2150
Mailing Address120 William Penn PlzDurham, NC 27704-2150 · (919) 220-5255 · Fax (919) 220-6971
Fax(919) 220-6971
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1997
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 16, 2022
NPPES CertifiedMay 16, 2022
NPI 1639160393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 2008-00627
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 2008-00627 (NC)
120 WILLIAM PENN PLZ, Durham, NC 27704

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

Paul Jason Kerner 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 ID8921192980
PECOS Enrollment IDI20080822000267
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 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.
261 services188 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
170 services66 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.
134 services127 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
129 services95 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
65 services50 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
62 services56 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Reported Quality Measures

e-Prescribing
99%245 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%1,779 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers17 claims25 services$23.27 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
4 suppliers20 claims20 services$212.67 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.

Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Occupational Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physician Assistant
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Internal Medicine (Rheumatology)
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery
120 WILLIAM PENN PLZ
DURHAM, NC 27704

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 Paul Kerner's NPI number?

The NPI number for Paul Kerner is 1639160393. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Paul Kerner located?

Paul Kerner practices at 120 William Penn Plz, Durham, NC 27704. The listed phone number is (919) 220-5255.

What is Paul Kerner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Kerner enrolled in Medicare?

Yes. Paul Kerner 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 Paul Kerner accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Paul Kerner 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.

Is Paul Kerner affiliated with any hospitals?

According to CMS data, Paul Kerner is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Paul Kerner was last updated on May 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.