DR. JEFFREY A KULLER MD
NPI 1528156957
Obstetrics & Gynecology in Raleigh, NC

NPI Status: Active since October 11, 2006

Contact Information

2406 BLUE RIDGE RD
RALEIGH, NC
ZIP 27607
Phone: (919) 783-4299
Fax: (919) 571-4697

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  • Individual
  • Male
  • Years of Experience 42
  • Obstetrics & Gynecology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JEFFREY KULLER

This page provides the complete NPI Profile along with additional information for Jeffrey Kuller, a women's health care provider established in Raleigh, North Carolina with a medical specialization in Obstetrics & Gynecology and more than 42 years of experience. He graduated from University Of Cincinnati College Of Medicine in 1984. The healthcare provider is registered in the NPI registry with number 1528156957 assigned on October 2006. The practitioner's primary taxonomy code is 207V00000X with license number 35403 (NC). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1528156957
Provider Name
DR. JEFFREY A KULLER MD
Gender
Male
Entity Type
Individual
Location Address
2406 BLUE RIDGE RD RALEIGH, NC 27607
Location Phone
(919) 783-4299
Location Fax
(919) 571-4697
Mailing Address
2406 BLUE RIDGE RD RALEIGH, NC 27607
Mailing Phone
(919) 783-4299
Mailing Fax
(919) 571-4697
Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year
1984
Is Sole Proprietor?
No
Enumeration Date
10-11-2006
Last Update Date
10-09-2007
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Women's health care providers like Jeffrey Kuller treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
35403
License State
NC
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2172794BMEDICARE PIN (08)NC 
8950498MEDICAID (05)NC 
2172794MEDICARE ID-TYPE UNSPECIFIED (04)NC 
E57866MEDICARE UPIN (02)NC 

Medicare Participation & PECOS Enrollment Status

Jeffrey Kuller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jeffrey Kuller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9436291648

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100127000236

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

This service was performed 34 times for 33 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.25 for a new patient copayment and $16.93 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27607 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.01
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $31.25
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.72
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $16.93
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JEFFREY A KULLER MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528156957
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25482512910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 5 + 1 + 2 + 9 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1528156957 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659341048DR. ROBERT GORDON JEFFERS MD
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1013988682DR. BRIDGET MCNAMARA DEGELE M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1457322190DR. MICHAEL SCOTT ARTMAN M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1932170693DR. VICTORIA MARGARET HERRIOTT M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1972574440DR. T. CHRISTINE LEHRICH M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1982675344DR. JULIANA JACKSON CLARK M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1538130026DR. LARRY DOUGLAS MANN M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1215908736DR. HAROLD PAYNE OVERCASH M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1528024692MS. KELLY JO WERNER CPNP
Individual
Nurse Practitioner (Pediatrics)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1013958768TRIANGLE EYE PHYSICIANS, P.A.
Organization
Specialist2406 BLUE RIDGE RD SUITE 280
RALEIGH, NC 27607
(919) 256-2500
1780601120PEDIATRIC UROLOGY OF NORTH CAROLINA
Organization
Urology (Pediatric Urology)2406 BLUE RIDGE RD SUITE 190
RALEIGH, NC 27607
(919) 785-1888
1619170396 HAZEL GRAY GARRISH MD
Individual
Pediatrics2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1093991390 AMANDA L PADRO MS
Individual
Genetic Counselor, MS2406 BLUE RIDGE RD SUITE 200
RALEIGH, NC 27607
(919) 783-4299
1063677649RALEIGH DURHAM MEDICAL GROUP, PA
Organization
Chiropractor2406 BLUE RIDGE RD STE. 170
RALEIGH, NC 27607
(919) 539-3796
1851526768DR. THOMAS J SUTTON MD
Individual
Pediatrics2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1912228347INTERNATIONAL CLINIC OF THE CAROLINAS PLLC
Organization
Internal Medicine2406 BLUE RIDGE RD SUITE 170
RALEIGH, NC 27607
(919) 782-4884
1760771026DR. SUSANNA S LAI M.D.
Individual
Pediatrics2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1386861268 MARIA PREMILLA ALEXANDER M.D.
Individual
Pediatrics (Adolescent Medicine)2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1154598373DR. MATTHEW DANIEL PEPPER M.D.
Individual
Pediatrics2406 BLUE RIDGE RD SUITE 100
RALEIGH, NC 27607
(919) 786-5001
1841274545DR. NAZIM KHAN MD
Individual
Internal Medicine (Cardiovascular Disease)2406 BLUE RIDGE RD SUITE 150
RALEIGH, NC 27607
(919) 758-8303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528156957, enumerated in the NPI registry as an "individual" on October 11, 2006

The provider is located at 2406 Blue Ridge Rd Raleigh, Nc 27607 and the phone number is (919) 783-4299

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider has more than 42 years of experience. He graduated from University Of Cincinnati College Of Medicine in 1984.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $125.01 with an average copayment of $31.25 for new patient appointments. Established patients should expect a typical charge of $67.72 and an average copayment of 16.93. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina.

This NPI record was last updated on October 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.