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KEVIN JAMES CONTRERA M.D., M.P.H.
NPI 1710226758
Otolaryngology in Pittsburgh, PA

Active since February 12, 2013PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
DEPARTMENT OF OTOLARYNGOLOGY, 5200 CENTRE AVENUE, PITTSBURGH, PA 15232(412) 647-2100 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Apr 25, 2021, Apr 18, 2021 (3 updates tracked since 2021).

About Kevin James Contrera M.d., M.p.h. NPPES

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

KEVIN JAMES CONTRERA M.D., M.P.H. (NPI 1710226758) is an individual otolaryngology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD481305) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Johns Hopkins University School Of Medicine (2016).

NPPES Registry Identity

NPI1710226758
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameKEVIN JAMES CONTRERACredential: M.D., M.P.H.
Location AddressDEPARTMENT OF OTOLARYNGOLOGY, 5200 CENTRE AVENUEPittsburgh, PA 15232
Mailing AddressDepartment Of Otolaryngology, 5200 Centre Avenue, Suite 211Pittsburgh, PA 15232 · (412) 647-2100
Phone(412) 647-2100
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2016
Enumeration DateFebruary 12, 2013
Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1710226758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD481305
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License MD481305 (PA)
DEPARTMENT OF OTOLARYNGOLOGY, Pittsburgh, PA 15232
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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

Kevin James Contrera M.d., M.p.h. 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 ID4688929615
PECOS Enrollment IDI20230930000139
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 8

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.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
28 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.
24 services20 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
20 services18 patients
Skin graft with repair of small blood vessel 15757
A skin graft is a procedure where healthy skin is taken from one area of the body and moved to another area that has lost skin. Small blood vessels in the graft area are also repaired to ensure proper blood flow and healing. This procedure aids in recovery from wounds or burns.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services15 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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 Kevin Contrera's NPI number?

The NPI number for Kevin Contrera is 1710226758. It was assigned to this individual provider in the NPPES registry on February 12, 2013.

Where is Kevin Contrera located?

Kevin Contrera practices at Department Of Otolaryngology 5200 Centre Avenue, Pittsburgh, PA 15232. The listed phone number is (412) 647-2100.

What is Kevin Contrera's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kevin Contrera enrolled in Medicare?

Yes. Kevin Contrera 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.

Is Kevin Contrera affiliated with any hospitals?

According to CMS data, Kevin Contrera is affiliated with Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Kevin Contrera was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.