DR. KENT EDWARD KESTER M.D.
NPI 1649250622
Internal Medicine - Infectious Disease in Baltimore, MD


Quality Rating: 85.85 out of 100 score

NPI Status: Active since January 18, 2006

Contact Information

22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-6704
Fax: (410) 328-4124

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  • Individual
  • Male
  • Years of Experience 39
  • Internal Medicine
  • Infectious Disease
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About KENT KESTER

Kent Kester is an internist established in Baltimore, Maryland and his medical specialization is Internal Medicine with a focus in infectious disease with more than 39 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 1986. The healthcare provider is registered in the NPI registry with number 1649250622 assigned on January 2006. The practitioner's primary taxonomy code is 207RI0200X with license number D0036095 (MD). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1649250622
Provider Name
DR. KENT EDWARD KESTER M.D.
Gender
Male
Entity Type
Individual
Location Address
22 S GREENE ST BALTIMORE, MD 21201
Location Phone
(410) 328-6704
Location Fax
(410) 328-4124
Mailing Address
PO BOX 64793 BALTIMORE, MD 21264
Mailing Phone
(410) 328-6704
Mailing Fax
(410) 328-4124
Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year
1986
Is Sole Proprietor?
No
Enumeration Date
01-18-2006
Last Update Date
04-19-2010
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An internist like Kent Kester is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kent Kester is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.85, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.36 for a new patient copayment and $28.06 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License No.
D0036095
License State
MD
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

D0036095 (MD)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD040278E (PA)
3207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

MD040278E (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
745TMEDICARE PIN (08)MD 
440001587MEDICARE PIN (08)MD 
G48472MEDICARE UPIN (02)MD 
764320900MEDICAID (05)MD 

PECOS Enrollment and Medicare Participation Status

Kent Kester is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4587857958

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101018000761

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $145.45
  • Minimum New Patient Price $63.64
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $36.36
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $112.24
  • Minimum Established Patient Price $19.91
  • Maximum Established Patient Price $156.57
  • Average Established Patient Copayment $28.06
  • Minimum Established Patient Copayment $4.97
  • Maximum Established Patient Copayment $39.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 85.85 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 74.28

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kent Kester is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF MARYLAND MEDICAL CENTER22 SOUTH GREENE STREET
BALTIMORE, MD 21201
(410) 328-8667Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649250622
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
268945064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 5 + 0 + 6 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1649250622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750383063MS. MALINDA DANIEL DUKE CPNP, CDE
Individual
Nurse Practitioner (Pediatrics)22 S GREENE ST RM N6W84
BALTIMORE, MD 21201
(410) 328-3410
1700881802DR. MARIA BAER MD
Individual
Internal Medicine (Hematology & Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8708
1982604773 MICHELLE DUELL CRNA
Individual
Specialist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1003817131DR. LISA MANUELA MARTINEZ M.D.
Individual
Internal Medicine22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-9595
1164416400DR. KIRSTEN ELLIZABETH LYKE M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1225023278MR. CHRISTOPHER OUDEKERK CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1942296124DR. MARCIA A MCAVOY M.D.
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST DEPT. OF RADIOLOGY
BALTIMORE, MD 21201
(410) 328-3477
1649266610DR. GEORGE W GROSS MD
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST ROOM N2E23
BALTIMORE, MD 21201
(410) 328-5656
1568459733MRS. DARBI NICHOLE ROBINSON CRNP
Individual
Nurse Practitioner22 S GREENE ST NEONATOLOGY DEPARTMENT
BALTIMORE, MD 21201
(410) 328-6717
1376534222DR. PETR FRANTISEK HAUSNER MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1427039940 ROGER DAVID BAXTER CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1497730592 MAYURIKA GHOSH MD
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2463
1790763993DR. THOMAS M SCALEA M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1518939925DR. WILLIAM C CHIU M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1740259274DR. MANGLA S GULATI M.D.
Individual
Hospitalist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1720047129 HEATHER D MANNUEL MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1619937539DR. RAJABRATA SARKAR M.D., PH.D.
Individual
Surgery (Vascular Surgery)22 S GREENE ST S10B00
BALTIMORE, MD 21201
(410) 328-5840
1003877093DR. CAROL OVERTON TACKET M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1215998281DR. PAMELA JAYNE AMELUNG M.D.
Individual
Internal Medicine (Pulmonary Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 705-5762
1649231481 PETER EDWIN DARWIN MD
Individual
Internal Medicine (Gastroenterology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8729

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649250622, enumerated in the NPI registry as an "individual" on January 18, 2006

The provider is located at 22 S Greene St Baltimore, Md 21201 and the phone number is (410) 328-6704

The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease

The provider has more than 39 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 1986.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $145.45 with an average copayment of $36.36 for new patient appointments. Established patients should expect a typical charge of $112.24 and an average copayment of 28.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): UNIVERSITY OF MARYLAND MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on January 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.