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DONALD KENT STEWART IV MD
NPI 1992916928
Surgery in Lincolnton, NC

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
441 MCALISTER RD, STE 2100, LINCOLNTON, NC 28092(980) 212-6250 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 48 more (51 updates tracked since 2018).

About Donald Kent Stewart Iv Md NPPES

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

DONALD KENT STEWART IV MD (NPI 1992916928) is an individual surgery provider in Lincolnton, North Carolina, licensed in North Carolina (2009-01340) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Lincoln, and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1992916928
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDONALD KENT STEWART IVCredential: MD
Location Address441 MCALISTER RD, STE 2100Lincolnton, NC 28092-4126
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 212-6250
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2004
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 15, 202451 updates tracked since enumeration
✔ NPI 1992916928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2009-01340
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
441 MCALISTER RD, Lincolnton, NC 28092
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Secondary Practice Location 1

Location 11585 Forney Creek Pkwy, Suite 2350Denver, NC 28037-9514 · Phone (980) 212-6070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Donald Kent Stewart Iv 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 ID7315084332
PECOS Enrollment IDI20091023000543
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 7

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 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.
42 services33 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.
30 services25 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
28 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services11 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
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28092 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

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

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.

ALDEN HENRY REINE JR. MD
Urology
441 MCALISTER RD, STE 1200
LINCOLNTON, NC 28092
Lincoln County (980) 212-6200
KAREN JONES
Orthopaedic Surgery
441 MCALISTER RD, SUITE 1100A
LINCOLNTON, NC 28092
Lincoln County (980) 212-6250
JANA CHANTAE SHERRILL RDN
Dietitian, Registered
441 MCALISTER RD
LINCOLNTON, NC 28092
Lincoln County (980) 212-6046
HENRY FLEISHMAN
Surgery
441 MCALISTER RD, SUITE 2100
LINCOLNTON, NC 28092
Lincoln County (980) 212-6250
MARGO A. ASWAD M.D.
Surgery
441 MCALISTER RD, SUITE 2400
LINCOLNTON, NC 28092
Lincoln County (704) 735-0511
ASWAD SURGICAL GROUP, PC
Surgery
441 MCALISTER RD, SUITE 2400
LINCOLNTON, NC 28092
Lincoln County (704) 735-0511
JOSEPH ALFRED VENEZIANO JR. M.D.
Orthopaedic Surgery
441 MCALISTER RD, SUITE 1100A
LINCOLNTON, NC 28092
Lincoln County (980) 212-6250
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Psychiatry & Neurology (Neurology)
441 MCALISTER RD, STE 2200
LINCOLNTON, NC 28092
Lincoln County (980) 212-6652

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 Donald Stewart's NPI number?

The NPI number for Donald Stewart is 1992916928. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Donald Stewart located?

Donald Stewart practices at 441 Mcalister Rd Ste 2100, Lincolnton, NC 28092. The listed phone number is (980) 212-6250.

What is Donald Stewart's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Donald Stewart enrolled in Medicare?

Yes. Donald Stewart 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 Donald Stewart accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Donald Stewart 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 Donald Stewart affiliated with any hospitals?

According to CMS data, Donald Stewart is affiliated with Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Donald Stewart 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.