Individual provider Active NPI

Carson Tyler Kaeser, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Chattanooga, TN
National Provider Identifier
1992064539
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
58899 Issued in TN
Practice address
979 E 3Rd St Ste C725
Chattanooga, TN 37403-3329
Phone
(423) 778-2580
Fax
(423) 778-7489
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 58899 TN
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 58899 TN Primary

Addresses

Primary practice location

979 E 3Rd St Ste C725
Chattanooga, TN 37403-3329

Mailing address

979 E 3Rd St Ste C725
Chattanooga, TN 37403-3329
Phone (423) 778-2580

Other practice location 1

1751 Gunbarrel Rd Ste 200
Chattanooga, TN 37421-7162
Phone (423) 894-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191109000084 TN Practitioner - Obstetrics/Gynecology 9234376278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Hamilton County Hospital AuthorityGroup PAC ID 0547179731, 159 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

979 E 3Rd St
C725
Chattanooga, TN 37403-3329
Phone (423) 778-2580

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 26, 2019 Accepting new patients
Chattanooga Hamilton County Hospital Authority Obstetrics & Gynecology CurrentSince Aug 26, 2019 Accepting new patients
Erlanger Health Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health Obstetrics & Gynecology Past Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1755 Gunbarrel Rd
Ste 301
Chattanooga, TN 37421
Phone (423) 756-2773

979 E 3rd St
Ste C725
Chattanooga, TN 37403
Phone (423) 756-4796

1751 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 697-1857

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1992064539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE C725",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033329",
            "telephone_number": "423-778-2580",
            "fax_number": "423-778-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE C725",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033329",
            "telephone_number": "423-778-2580",
            "fax_number": "423-778-7489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Gunbarrel Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374217162",
            "country_code": "US",
            "telephone_number": "423-894-1355",
            "fax_number": "423-899-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAESER",
        "first_name": "CARSON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "58899",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TN",
            "license": "58899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.