DR. VINCENT CHARLES SMITH MD
NPI 1558338475
Pathology - Anatomic Pathology & Clinical Pathology in Raleigh, NC
Quality Rating: 90 out of 100 score
NPI Status: Active since March 01, 2006
Contact Information
4420 LAKE BOONE TRL
RALEIGH, NC
ZIP 27607
Phone: (919) 784-3040
Fax: (919) 784-3362
- Individual
- Male
- Years of Experience 29
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About VINCENT SMITH
This page provides the complete NPI Profile along with additional information for Vincent Smith, a provider established in Raleigh, North Carolina with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 29 years of experience. He graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1558338475 assigned on March 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1558338475
- Provider Name
- DR. VINCENT CHARLES SMITH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4420 LAKE BOONE TRL RALEIGH, NC 27607
- Location Phone
- (919) 784-3040
- Location Fax
- (919) 784-3362
- Mailing Address
- PO BOX 100559 FLORENCE, SC 29501
- Mailing Phone
- (843) 664-4300
- Mailing Fax
- (919) 784-3362
- Medical School Name
- UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-01-2006
- Last Update Date
- 01-15-2008
- 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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
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 |
|---|---|---|---|
| H68365 | MEDICARE UPIN (02) | ||
| 89132PU | MEDICAID (05) | NC | |
| 132PU | OTHER (01) | NC | BCBS |
| 2005098 | MEDICARE PIN (08) | NC |
Medicare Participation & PECOS Enrollment Status
Vincent Smith 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.
Vincent Smith 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: 6608979646
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: I20100320000275
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.
Blood smear interpretation by physician with written report
Bone marrow, smear interpretation
Cell examination of specimen, selective cellular enhancement technique
Evaluation of fine needle aspirate
Evaluation of fine needle aspirate with interpretation and report
Examination of archival tissue for genetic analysis
Immunologic analysis technique on serum (immunofixation)
Microscopic genetic analysis of tumor, manual
Microscopic genetic analysis of tumor, manual
Pathology cytologic examination of specimen during surgery, each additional site
Pathology cytologic examination of specimen during surgery, initial site
Pathology examination of specimen during surgery, first tissue block
Pathology examination of tissue using a microscope
Pathology examination of tissue using a microscope, high complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, limited examination
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Pathology examination of tissue using a microscope, moderately low complexity
Preparation of tissue for examination by removing any calcium present
Protein measurement, serum
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to identify organisms including interpretation and report
Blood smear interpretation by physician with written report - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 80 times for 76 patientsBone marrow, smear interpretation - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 17 times for 16 patientsCell examination of urine, computer-assisted - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 93 times for 63 patientsEvaluation of hearing function related to surgically implanted hearing device, each additional 15 minutes - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 36 times for 19 patientsEvaluation of hearing function related to surgically implanted hearing device, first hour - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 51 times for 29 patientsExclusion of appendage of left upper chamber of heart - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 21 times for 20 patientsImplantation of artificial valve between right upper and lower chambers of heart through catheter - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 119 times for 117 patientsModerate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 67 times for 37 patientsModerate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 69 times for 23 patientsPathology examination of tissue using a microscope, limited examination - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 23 times for 14 patientsPathology examination of tissue using a microscope, moderately high complexity - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 33 times for 21 patientsPatient/caregiver training for monitoring of anticoagulant therapy - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 45 times for 21 patientsPattern recording of retinal electrical responses to external stimuli with interpretation and report - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 26 times for 22 patientsPayment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 40 times for 39 patientsPelvic exam under anesthesia - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 943 times for 474 patientsPelvic exam under anesthesia - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 376 times for 206 patientsPenetrating transplantation of tissue from 1 cornea to other cornea (except in aphakia or pseudophakia) - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 13 times for 13 patientsPenetrating transplantation of tissue from 1 cornea to other cornea (in pseudophakia) - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 224 times for 132 patientsPentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 93 times for 84 patientsPentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 16 times for 13 patientsPrimary repair of tendon on front of leg - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 41 times for 37 patientsPsa (prostate specific antigen) measurement, free - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 161 times for 156 patientsSpecimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 63 times for 24 patientsSpecimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 243 times for 79 patientsSpecimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 26 times for 13 patientsSpeech threshold hearing test - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 147 times for 120 patientsSpeech threshold hearing test - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 29 times for 25 patientsSpinal fusion - This service/procedure involves specialized medical testing, treatment, or evaluation to ensure accurate diagnosis or care tailored to the condition indicated by the description.
This service was performed 26 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.25 for a new patient copayment and $23.98 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 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- 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 90, 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: 90 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: 80
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: 40
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 |
|---|
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vincent Smith is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UNC LENOIR HEALTH CARE | 100 AIRPORT RD KINSTON, NC 28501 | (252) 522-7000 | Acute Care Hospitals | |
| REX HOSPITAL | 4420 LAKE BOONE TRAIL RALEIGH, NC 27607 | (919) 784-3100 | Acute Care Hospitals |
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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 | 5 | 5 | 8 | 3 | 3 | 8 | 4 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 6 | 3 | 16 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 6 + 3 + 1 + 6 + 4 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1558338475 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1376519280 | KEITH VAN ALLEN NANCE MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 783-3286 |
| 1275509184 | DR. TIMOTHY ROBERT CARTER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 783-3058 |
| 1861468779 | DR. STEPHEN VICTOR CHIAVETTA MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3040 |
| 1255307187 | REX PATHOLOGY ASSOCIATES PA Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3040 |
| 1528035441 | DR. JOHN PHILLIP SORGE MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3062 |
| 1720057888 | ELIZABETH A BRUCE CNS, NP Individual | Clinical Nurse Specialist | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3100 |
| 1518914506 | SUSAN L. PETRY PA Individual | Physician Assistant | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3100 |
| 1407803497 | ROBERT ALLEN PAUL JR. PA Individual | Physician Assistant | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3100 |
| 1043254485 | JEFFREY D. PARKS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3100 |
| 1356379234 | ROBERT D ORNITZ MD Individual | Radiology (Radiation Oncology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3320 |
| 1619900917 | GINTARAS EDUARD DEGESYS M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1063445377 | DR. FUMIKO CATRINA READING M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3063 |
| 1154354470 | NEIL ALBERT RAMQUIST M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1356374680 | JENNIFER SUE VANVICKLE M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1225054034 | CYNTHIA SUSAN PAYNE M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1396761110 | ANDREW BERNARD WEBER M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1285650077 | WHITNEY KENT DAVIS M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1326064122 | TRACEY ELLEN O'CONNELL M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1750307559 | MARK HENRY KNELSON M.D. Individual | Radiology (Diagnostic Radiology) | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-3023 |
| 1679593537 | PATRICE M CEPULL RD, LDN Individual | Dietitian, Registered | 4420 LAKE BOONE TRL RALEIGH, NC 27607 (919) 784-6594 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558338475, enumerated in the NPI registry as an "individual" on March 01, 2006
The provider is located at 4420 Lake Boone Trl Raleigh, Nc 27607 and the phone number is (919) 784-3040
The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider has more than 29 years of experience. He graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1997.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
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 $95.94 and an average copayment of 23.98. 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: Blood smear interpretation by physician with written report, Bone marrow, smear interpretation, Cell examination of specimen, selective cellular enhancement technique, Evaluation of fine needle aspirate, Evaluation of fine needle aspirate with interpretation and report, Examination of archival tissue for genetic analysis, Immunologic analysis technique on serum (immunofixation), Microscopic genetic analysis of tumor, manual, Microscopic genetic analysis of tumor, manual, Pathology cytologic examination of specimen during surgery, each additional site, Pathology cytologic examination of specimen during surgery, initial site, Pathology examination of specimen during surgery, first tissue block, Pathology examination of tissue using a microscope, Pathology examination of tissue using a microscope, high complexity, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, limited examination, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity, Pathology examination of tissue using a microscope, moderately low complexity, Preparation of tissue for examination by removing any calcium present, Protein measurement, serum, Special stained specimen slides to examine tissue including interpretation and report, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, initial procedure, Special stained specimen slides to examine tissue, initial procedure and Special stained specimen slides to identify organisms including interpretation and report.
The practitioner is affiliated to the following hospital(s): UNC LENOIR HEALTH CARE and REX HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 01, 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].
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