KATHY JACKSON TEASDALL MD
NPI 1962448704
Otolaryngology in Winston Salem, NC

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
85.84/100
CMS Quality Rating
755 HIGHLAND OAKS DR, STE 204, WINSTON SALEM, NC 27103(336) 768-1037(336) 768-9141 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy Jackson Teasdall Md NPPES

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

KATHY JACKSON TEASDALL MD (NPI 1962448704) is an individual otolaryngology provider in Winston Salem, North Carolina, licensed in North Carolina (9400157) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1983).

NPPES Registry Identity

NPI1962448704
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKATHY JACKSON TEASDALLCredential: MD
Location Address755 HIGHLAND OAKS DR, STE 204Winston Salem, NC 27103-7106
Mailing Address755 Highland Oaks Dr, Ste 204Winston Salem, NC 27103-7106 · (336) 768-1037 · Fax (336) 768-9141
Fax(336) 768-9141
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1983
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 20, 2013
NPI 1962448704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NC · 9400157
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.
755 HIGHLAND OAKS DR, Winston Salem, NC 27103

Other Identifiers 3

Medicare UPINB66108
Medicaid8982338NC
Medicare PIN2197517NC

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

Kathy Jackson Teasdall 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 ID8022276740
PECOS Enrollment IDI20120225000183
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 9

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
121 services93 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.
68 services60 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.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 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.
19 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

85.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.33
Promoting Interoperability99
Improvement Activities40
Cost86.32

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Psychiatry)
755 HIGHLAND OAKS DR, SUITE 202
WINSTON SALEM, NC 27103
Internal Medicine
755 HIGHLAND OAKS DR, SUITE 102
WINSTON SALEM, NC 27103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
755 HIGHLAND OAKS DR, SUITE 201
WINSTON SALEM, NC 27103
Internal Medicine
755 HIGHLAND OAKS DR, SUITE 202
WINSTON SALEM, NC 27103
Internal Medicine
755 HIGHLAND OAKS DR, SUITE 202
WINSTON-SALEM, NC 27103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
755 HIGHLAND OAKS DR, SUITE 201
WINSTON SALEM, NC 27103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
755 HIGHLAND OAKS DR, SUITE 201
WINSTON SALEM, NC 27103
Family Medicine
755 HIGHLAND OAKS DR, SUITE 102
WINSTON SALEM, NC 27103

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 Kathy Teasdall's NPI number?

The NPI number for Kathy Teasdall is 1962448704. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Kathy Teasdall located?

Kathy Teasdall practices at 755 Highland Oaks Dr Ste 204, Winston Salem, NC 27103. The listed phone number is (336) 768-1037.

What is Kathy Teasdall's specialty?

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

Is Kathy Teasdall enrolled in Medicare?

Yes. Kathy Teasdall 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 Kathy Teasdall accept?

Health plans from Blue Cross and Blue Shield of NC list Kathy Teasdall 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.

When was this NPI record last updated?

The NPPES record for Kathy Teasdall was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.