MR. SUBARNA GAUTAM M.D.
NPI 1942863436
Hospitalist in Kernersville, NC

Q: What is Subarna Gautam's NPI number?

The NPI number for Subarna Gautam is 1942863436. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Q: What is Subarna Gautam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Subarna Gautam was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 564-4866(336) 277-6815 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2022, Apr 19, 2019 (2 updates tracked since 2019).

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About Mr. Subarna Gautam M.d. NPPES

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

MR. SUBARNA GAUTAM M.D. (NPI 1942863436) is an individual hospitalist provider in Kernersville, North Carolina, licensed in North Carolina (2025-01329) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in New Castle.

NPPES Registry Identity

NPI1942863436

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMR. SUBARNA GAUTAMCredential: M.D.

Location Address1750 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7146

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 564-4866 · Fax (336) 277-6815

Phone(336) 564-4866

Fax(336) 277-6815

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 19, 2019

Last NPPES UpdateAugust 22, 20252 updates tracked since enumeration

NPPES CertifiedAugust 22, 2025

✔ NPI 1942863436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in NC · 2025-01329✔ Licensed in PA · MD477958

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1750 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

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Secondary Practice Location 1

Location 11211 Wilmington Ave, UPMC Jameson HospitalNew Castle, PA 16105 · Phone (724) 658-9001 · Fax (330) 884-5688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Subarna Gautam M.d. 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 ID9032595228

PECOS Enrollment IDI20250919000378

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.

Medicare Billing Reassignments

Medicare enrollment records show Subarna Gautam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC

Same address

Hospitalist

1750 KERNERSVILLE MEDICAL PKWY
Kernersville, NC 27284

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1033415377 (336) 564-4866

University Of Pittsburgh Physicians

296 mi

Internal Medicine

3089 SUSSEX AVE
Pittsburgh, PA 15226

Reassigned Medicare billing, Pennsylvania enrollment
7,114 clinicians in this Medicare group

NPI 1245414127 (412) 571-1022

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

256 services102 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

48 services46 patients

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.

26 services20 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.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

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.

NOVANT HEALTH MEDICAL GROUP, LLC

Hospitalist