DOUGLAS B KIRSCH MD
NPI 1841304748
Psychiatry & Neurology - Sleep Medicine in Charlotte, NC

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1601 ABBEY PL, STE 200, CHARLOTTE, NC 28209(704) 512-2980 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Nov 1, 2023, May 4, 2023 and 49 more (52 updates tracked since 2017).

About Douglas B Kirsch Md NPPES

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

DOUGLAS B KIRSCH MD (NPI 1841304748) is an individual sleep medicine provider in Charlotte, North Carolina, licensed in North Carolina (2014-01857) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1841304748
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameDOUGLAS B KIRSCHCredential: MD
Location Address1601 ABBEY PL, STE 200Charlotte, NC 28209-3835
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1999
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 15, 202452 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1841304748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License Licensed in NC · 2014-01857
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2014-01857 (NC)
1601 ABBEY PL, Charlotte, NC 28209

Secondary Practice Locations 3

Location 11100 Healing Way, Ste 21DMatthews, NC 28104-5159 · Phone (704) 302-8555
Location 2431 Copperfield Blvd NE, Ste 100Concord, NC 28025-2405 · Phone (704) 403-9300
Location 34525 Cameron Valley PkwyCharlotte, NC 28211-4369 · Phone (704) 355-5100

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

Douglas B Kirsch 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 ID749257731
PECOS Enrollment IDI20141126001966
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.

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.
181 services141 patients
Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation G0398
A home sleep study test with a type II portable monitor is a non-invasive procedure done at home to monitor your sleep. It records data like brain waves, eye movements, muscle activity, heart rate, breathing, and oxygen levels. This helps identify sleep disorders.
61 services57 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.
54 services54 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
42 services41 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.
35 services26 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
27 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Atrium Health Anson

Acute Care Hospitals · Wadesboro, NC
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340084
Location2301 Us Highway 74 WestWadesboro, NC 28170 · Anson County
Emergency services

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28209 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers202 claims202 services$30.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers95 claims95 services$72.24 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers91 claims209 services$27.11 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers82 claims422 services$16.06 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers65 claims333 services$13.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers163 claims163 services$45.21 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 16

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

General Practice
1601 ABBEY PL, STE. 105
CHARLOTTE, NC 28209
Dentist
1601 ABBEY PL, STE 220
CHARLOTTE, NC 28209
Nurse Practitioner
1601 ABBEY PL, STE 200
CHARLOTTE, NC 28209
Counselor (Professional)
1601 ABBEY PL
CHARLOTTE, NC 28209
Preventive Medicine (Undersea and Hyperbaric Medicine)
1601 ABBEY PL, STE 105
CHARLOTTE, NC 28209
Oral Medicine
1601 ABBEY PL, STE 220
CHARLOTTE, NC 28209
Clinic/Center (Dental)
1601 ABBEY PL, SUITE 220
CHARLOTTE, NC 28209
Oral Medicine
1601 ABBEY PL, STE 220
CHARLOTTE, NC 28209

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 Douglas Kirsch's NPI number?

The NPI number for Douglas Kirsch is 1841304748. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Douglas Kirsch located?

Douglas Kirsch practices at 1601 Abbey Pl Ste 200, Charlotte, NC 28209. The listed phone number is (704) 512-2980.

What is Douglas Kirsch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Douglas Kirsch enrolled in Medicare?

Yes. Douglas Kirsch 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 Douglas Kirsch accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Douglas Kirsch 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 Douglas Kirsch affiliated with any hospitals?

According to CMS data, Douglas Kirsch is affiliated with Scotland Memorial Hospital, Atrium Health Anson, Atrium Health Pineville, Atrium Health Union and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Douglas Kirsch was last updated on July 15, 2024. 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.