DOMAGOJ CORIC MD
NPI 1265430029
Neurological Surgery in Charlotte, NC
Quality Rating: 75 out of 100 score
NPI Status: Active since July 14, 2005
Contact Information
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
Phone: (704) 376-1605
Fax: (704) 335-8448
- Individual
- Male
- Neurological Surgery
- PECOS Enrolled
- Medicare Quality Reporting
About DOMAGOJ CORIC
This page provides the complete NPI Profile along with additional information for Domagoj Coric, a provider established in Charlotte, North Carolina with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1265430029 assigned on July 2005. The practitioner's primary taxonomy code is 207T00000X with license number 9401156 (NC). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1265430029
- Provider Name
- DOMAGOJ CORIC MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 225 BALDWIN AVE CHARLOTTE, NC 28204
- Location Phone
- (704) 376-1605
- Location Fax
- (704) 335-8448
- Mailing Address
- 225 BALDWIN AVE CHARLOTTE, NC 28204
- Mailing Phone
- (704) 376-1605
- Mailing Fax
- (704) 335-8448
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-14-2005
- Last Update Date
- 09-11-2020
- Code Navigator
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
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 9401156
- License State
- NC
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
---|---|---|---|
140005406 | OTHER (01) | RAILROAD MEDICARE | |
8911201 | MEDICAID (05) | NC | |
N01156 | MEDICAID (05) | SC |
Medicare Participation & PECOS Enrollment Status
Domagoj Coric 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
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.
Computer-assisted spinal procedure
Ct scan of lower spine without contrast
Ct scan of middle spine without contrast
Ct scan of upper spine without contrast
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Fusion of additional segment of spine
Fusion of spine in lower back with partial removal of spine bone and disc
Insertion of cage or mesh device to spine bone and disc space during spine fusion
Mri scan of lower spinal canal without contrast
Mri scan of middle spinal canal without contrast
Mri scan of upper spinal canal without contrast
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
Placement of stabilizing device to back, 3-6 spine bone segments
X-ray of entire middle and lower spine, 2-3 views
X-ray of lower and sacral spine, 2-3 views
X-ray of upper spine, 2-3 views
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
This service was performed 32 times for 31 patientsA CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
This service was performed 61 times for 55 patientsA CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.
This service was performed 14 times for 13 patientsA CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
This service was performed 29 times for 28 patientsThis 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.
This service was performed 276 times for 197 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 203 times for 169 patientsFusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
This service was performed 99 times for 33 patientsThis procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
This service was performed 27 times for 27 patientsSpine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
This service was performed 54 times for 36 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 73 times for 70 patientsAn MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.
This service was performed 18 times for 17 patientsAn MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
This service was performed 34 times for 34 patientsThis 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.
This service was performed 32 times for 32 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 32 times for 32 patientsThis procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.
This service was performed 20 times for 19 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 18 times for 18 patientsThis procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
This service was performed 27 times for 14 patientsThis procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
This service was performed 33 times for 32 patientsAn X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
This service was performed 105 times for 89 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 183 times for 133 patientsAn X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
This service was performed 88 times for 58 patientsPhysician Visit Costs
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 28204 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.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 75 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
Documentation of Current Medications in the Medical Record | 94% | 1089 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
e-Prescribing | 89% | 220 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Health Information Exchange | 89% | 113 |
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Medication Reconciliation | 98% | 102 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Pain Assessment and Follow-Up | 87% | 1058 |
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present | ||
Patient-Specific Education | 99% | 362 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Practice Improvements for Bilateral Exchange of Patient Information | Yes | N/A |
Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following: • Participate in a Health Information Exchange if available; and/or • Use structured referral notes. | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 33% | 793 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | 294 |
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
Provide Patient Access | 89% | 362 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
Secure Messaging | 12% | 362 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Use of High-Risk Medications in the Elderly | 11% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 370 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
Use of QCDR for feedback reports that incorporate population health | Yes | N/A |
Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations. |
Reviews for DOMAGOJ CORIC 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. | |||||||||
1 | 2 | 6 | 5 | 4 | 3 | 0 | 0 | 2 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 12 | 5 | 8 | 3 | 0 | 0 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 2 + 5 + 8 + 3 + 0 + 0 + 4 + 24 = 51 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 51 = 9 | 9 |
The NPI number 1265430029 is valid because the calculated check digit 9 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 |
---|---|---|---|
1184844730 | LISA M NORMAN P.T. Individual | Physical Therapist | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1326373168 | MRS. LISA MATHLEY SCHLOEDER RN Individual | Registered Nurse | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1184622060 | CRAIG ANDREW VANDERVEER MD Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1225036106 | CHARLES SCOTT MCLANAHAN MD Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1811995715 | MICHAEL DANIEL HEAFNER MD Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1801895651 | ALEXANDRIA MASON HOPKINS ANP Individual | Nurse Practitioner (Adult Health) | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1154384568 | CAROLINA NEUROSURGERY & SPINE ASSOCIATES PA Organization | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1164601019 | DAVID LEN MONTGOMERY P.T. Individual | Physical Therapist | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1255323044 | SAMUEL J CHEWNING JR. M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1508847781 | JOHN ARTHUR WELSHOFER MD Individual | Physical Medicine & Rehabilitation | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1144289000 | AMANDA GORDON CANCILLA NP Individual | Nurse Practitioner (Acute Care) | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1215050315 | JOHN EDWARD ZIEWACZ M.D. Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1467650663 | STUART TAYLOR JARRELL MD Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1699949669 | ANDREW T HEALY MD Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1831197698 | MARTIN MCMILLAN HENEGAR MD Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1700831351 | SANJIV SHASHANK LAKHIA DO Individual | Physical Medicine & Rehabilitation | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1932138781 | SAMEER VEMURI MD Individual | Physical Medicine & Rehabilitation | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1073665550 | MATTHEW JOSEPH MCGIRT M.D. Individual | Neurological Surgery | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1790093052 | MEGAN M LUKEY Individual | Physical Therapist | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
1912284266 | SAPNIL D PATEL PA-C Individual | Physician Assistant (Surgical) | 225 BALDWIN AVE CHARLOTTE, NC 28204 (704) 376-1605 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265430029, enumerated in the NPI registry as an "individual" on July 14, 2005
The provider is located at 225 Baldwin Ave Charlotte, Nc 28204 and the phone number is (704) 376-1605
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. 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: Computer-assisted spinal procedure, Ct scan of lower spine without contrast, Ct scan of middle spine without contrast, Ct scan of upper spine without contrast, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Fusion of additional segment of spine, Fusion of spine in lower back with partial removal of spine bone and disc, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Mri scan of lower spinal canal without contrast, Mri scan of middle spinal canal without contrast, Mri scan of upper spinal canal without contrast, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment, Placement of stabilizing device to back, 3-6 spine bone segments, X-ray of entire middle and lower spine, 2-3 views, X-ray of lower and sacral spine, 2-3 views and X-ray of upper spine, 2-3 views.
This NPI record was last updated on July 14, 2005. 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].
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