KAUSHIK SEN MD
NPI 1730110669
Internal Medicine - Medical Oncology in Durham, NC

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
88.32/100
CMS Quality Rating
2100 ERWIN RD, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaushik Sen Md NPPES

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

KAUSHIK SEN MD (NPI 1730110669) is an individual medical oncology provider in Durham, North Carolina, licensed in North Carolina (2006-01327) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1730110669
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameKAUSHIK SENCredential: MD
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address4117 N Roxboro StDurham, NC 27704-2121 · (919) 684-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 27, 2017
NPI 1730110669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses Licensed in NC · 2006-01327 Licensed in ND · 8863 Licensed in MN · 39216
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2006-01327 (NC)
2100 ERWIN RD, Durham, NC 27710

Other Identifiers 19

OtherDA9011032520ND · Preferred One #
Medicare ID-Type Unspecified900004290ND · Rr Medicare #
Medicare ID-Type Unspecified900000233MN · Mn Medicare #
Medicaid12062ND
Medicare ID-Type Unspecified22602ND · Nd Medicare #
Medicare ID-Type UnspecifiedP00018152ND · Rr Medicare #
Other3600301ND · Medica #
Other319J0SEND · Mnbs #
Medicare ID-Type Unspecified22403ND · Nd Medicare #
Other256J0SEND · Mnbs #
Other22602ND · Ndbs #
Other22403ND · Ndbs #
Medicare ID-Type Unspecified900004272MN · Rr Medicare #
Medicaid721818400ND
Other22406ND · Ndbs #
Other3600300ND · Medica #
OtherND200217ND · Lhs #
Medicare UPING98074ND
Medicare PIN2058614NC

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

Kaushik Sen 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 ID5092714238
PECOS Enrollment IDI20061215000260
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 5

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 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.
372 services158 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.
286 services204 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

88.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.79
Promoting Interoperability88
Improvement Activities40
Cost86.81

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers15 claims42 services$36.00 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.

Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710

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 Kaushik Sen's NPI number?

The NPI number for Kaushik Sen is 1730110669. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Kaushik Sen located?

Kaushik Sen practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Kaushik Sen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Kaushik Sen enrolled in Medicare?

Yes. Kaushik Sen 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 Kaushik Sen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and UnitedHealthcare list Kaushik Sen 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 Kaushik Sen affiliated with any hospitals?

According to CMS data, Kaushik Sen is affiliated with Unc Hospitals, Vidant Edgecombe Hospital and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kaushik Sen was last updated on April 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.