Bryan Jeffrey Loeffler, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Charlotte, NC
NPI 1720118540 · NPPES record last updated Jan 10, 2014
Key facts
- NPI
- 1720118540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 2006-01344 (NC)
- Practice address
- 1915 Randolph Rd
Charlotte, NC 28207-1101 - Phone
- (704) 323-2000
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Maryland School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthocarolina
Practice addresses (Care Compare)
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130816000875 | NC | Practitioner - Orthopedic Surgery | 9638336373 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01344 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current |
Accepting new patients | |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Orthocarolina | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Past | Accepting new patients |
Locations
5935 Carnegie Blvd
Ste 200
Charlotte, NC 28209
1915 Randolph Rd
Fl 1
Charlotte, NC 28207
Phone (704) 323-3000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2006-01344 | NC | Yes |
Addresses
Primary practice location
1915 Randolph Rd
Charlotte, NC 28207-1101
Mailing address
4601 Park Rd
Suite 250
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5922838 | Medicaid | NC | |
| NC1802 | Medicaid | SC |
Other providers in Charlotte, NC
- Peter Bergen Lockhart
- Kamryn Annette Locklear
- Erika Lee Lodgek
- Nilesh Ishwarlal Lodhia
- Tara Beth Lods
- Jonathan Loeffler
- Kenneth Joseph Loeffler
- Mallory Rae Loeffler
- Allison M Loehrke
- Lucy Loepprich
All providers in Charlotte, NC · Orthopaedic Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.