DR. ANDREW DOUGLAS KERSTEN MD
NPI 1699975474
Orthopaedic Surgery - Sports Medicine in Hendersonville, NC

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
800 FLEMING ST, HENDERSONVILLE, NC 28791(828) 294-7793(828) 330-2030 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2022, Apr 6, 2021, Aug 28, 2018 (3 updates tracked since 2018).

About Dr. Andrew Douglas Kersten Md NPPES

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

DR. ANDREW DOUGLAS KERSTEN MD (NPI 1699975474) is an individual sports medicine provider in Hendersonville, North Carolina, licensed in North Carolina (201300970) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1699975474
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. ANDREW DOUGLAS KERSTENCredential: MD
Location Address800 FLEMING STHendersonville, NC 28791-3528
Mailing Address915 Tate Blvd Se Ste 190Hickory, NC 28602-4042 · (828) 294-7793 · Fax (828) 330-2060
Fax(828) 330-2030
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateJuly 20, 2007
Last NPPES UpdateAugust 1, 20223 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1699975474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in NC · 201300970
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 201300970 (NC)
800 FLEMING ST, Hendersonville, NC 28791

Secondary Practice Locations 6

Location 12775 Hendersonville RdArden, NC 28704-0060 · Phone (828) 209-0925
Location 223A Turtle Creek DrAsheville, NC 28803-3152 · Phone (828) 274-2188
Location 335 Valley View TerWaynesville, NC 28786-4548 · Phone (828) 454-9816
Location 42315 Asheville Hwy Ste 20Hendersonville, NC 28791-1561 · Phone (828) 692-4356
Location 5212 Thompson St Ste CHendersonville, NC 28792-2895 · Phone (828) 233-2929
Location 621 Turtle Creek DrAsheville, NC 28803 · Phone (828) 274-4555 · Fax (828) 274-8348

Other Identifiers 4

Other181WRNC · Bcbs Nc
Other181WRNC · Bcbs Of Nc
Other201300970NC · State License
OtherP01309248NC · Rr Medicare

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. Andrew Douglas Kersten 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 ID5294991311
PECOS Enrollment IDI20131016000083
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 24

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
864 services84 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
249 services146 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.
227 services159 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
220 services12 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.
142 services121 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.
141 services94 patients

Hospital Affiliations CMS Care Compare 3

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

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

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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$60.70 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers36 claims36 services$105.41 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.

Orthopaedic Surgery (Hand Surgery)
800 FLEMING ST
HENDERSONVILLE, NC 28791
Orthopaedic Surgery
800 FLEMING ST
HENDERSONVILLE, NC 28791
Nurse Practitioner (Critical Care Medicine)
800 FLEMING ST
HENDERSONVILLE, NC 28791
Physician Assistant
800 FLEMING ST
HENDERSONVILLE, NC 28791
Occupational Therapist (Hand)
800 FLEMING ST
HENDERSONVILLE, NC 28791
Physical Therapist
800 FLEMING ST
HENDERSONVILLE, NC 28791
Physician Assistant
800 FLEMING ST
HENDERSONVILLE, NC 28791
Physical Therapist
800 FLEMING ST
HENDERSONVILLE, NC 28791

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 Andrew Kersten's NPI number?

The NPI number for Andrew Kersten is 1699975474. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Andrew Kersten located?

Andrew Kersten practices at 800 Fleming St, Hendersonville, NC 28791. The listed phone number is (828) 294-7793.

What is Andrew Kersten's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Andrew Kersten enrolled in Medicare?

Yes. Andrew Kersten 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 Andrew Kersten accept?

Health plans from Blue Cross and Blue Shield of NC list Andrew Kersten 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 Andrew Kersten affiliated with any hospitals?

According to CMS data, Andrew Kersten is affiliated with Margaret R Pardee Memorial Hospital, Adventhealth Hendersonville and Transylvania Regional Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Andrew Kersten was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.