Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Kirby Kilpatrick, MD

Individual provider Facial Plastic Surgery Physician · NPI 1417979501

Jefferson Kirby Kilpatrick, MD is an Otolaryngology in Pinehurst, North Carolina. Graduated from Wake Forest University School of Medicine in 1994, 32 years ago. Practices with Pinehurst Surgical Clinic PA, a 92-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
32
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5 First Village Dr
Pinehurst, NC 28374
Phone: (910) 295-6831
Fax: (910) 295-0244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 200000243 (NC)

Record details

NPI number1417979501
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESSeptember 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Pinehurst Surgical Clinic Pa — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare