DR. SYLVIA VENEZIA KAUFFMAN MD, MSPH
NPI 1699270298
Family Medicine in Candler, NC

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
25 WESTRIDGE MARKET PL, CANDLER, NC 28715(828) 418-0040(828) 418-0041 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2023, Jul 9, 2021, Mar 26, 2018 (3 updates tracked since 2018).

About Dr. Sylvia Venezia Kauffman Md, Msph NPPES

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

DR. SYLVIA VENEZIA KAUFFMAN MD, MSPH (NPI 1699270298) is an individual family medicine provider in Candler, North Carolina, licensed in North Carolina (2019-02453) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1699270298
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SYLVIA VENEZIA KAUFFMANCredential: MD, MSPH
Location Address25 WESTRIDGE MARKET PLCandler, NC 28715-9174
Mailing Address25 Westridge Market PlCandler, NC 28715-9174 · (828) 418-0040 · Fax (828) 418-0041
Fax(828) 418-0041
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
NPI 1699270298 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 · 2019-02453
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.
25 WESTRIDGE MARKET PL, Candler, NC 28715

Secondary Practice Location 1

Location 1123 Hendersonville RdAsheville, NC 28803-2868 · Phone (828) 257-4730 · Fax (828) 232-2942

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

Dr. Sylvia Venezia Kauffman Md, Msph 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 ID7012264138
PECOS Enrollment IDI20210715002716
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28715 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.

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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
25 WESTRIDGE MARKET PL
CANDLER, NC 28715
Social Worker (Clinical)
25 WESTRIDGE MARKET PL
CANDLER, NC 28715
Pharmacist
25 WESTRIDGE MARKET PL
CANDLER, NC 28715
Pharmacy (Community/Retail Pharmacy)
25 WESTRIDGE MARKET PL
CANDLER, NC 28715
Clinic/Center (Federally Qualified Health Center (FQHC))
25 WESTRIDGE MARKET PL
CANDLER, NC 28715
Nurse Practitioner (Family)
25 WESTRIDGE MARKET PL
CANDLER, NC 28715
Nurse Practitioner
25 WESTRIDGE MARKET PL
CANDLER, NC 28715
Family Medicine
25 WESTRIDGE MARKET PL
CANDLER, NC 28715

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 Sylvia Kauffman's NPI number?

The NPI number for Sylvia Kauffman is 1699270298. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Sylvia Kauffman located?

Sylvia Kauffman practices at 25 Westridge Market Pl, Candler, NC 28715. The listed phone number is (828) 418-0040.

What is Sylvia Kauffman's specialty?

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

Is Sylvia Kauffman enrolled in Medicare?

Yes. Sylvia Kauffman 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 Sylvia Kauffman accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Sylvia Kauffman 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 Sylvia Kauffman affiliated with any hospitals?

According to CMS data, Sylvia Kauffman is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Sylvia Kauffman was last updated on October 6, 2023. 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.