LIANGYONG JIANG
NPI 1912291212
Internal Medicine - Rheumatology in Greenville, NC
NPI Status: Active since June 03, 2011
Contact Information
1850 W ARLINGTON BLVD
GREENVILLE, NC
ZIP 27834
Phone: (252) 413-6740
Fax: (252) 752-6600
- Individual
- Male
- Years of Experience 35
- Internal Medicine
- Rheumatology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About LIANGYONG JIANG
This page provides the complete NPI Profile along with additional information for Liangyong Jiang, an internist established in Greenville, North Carolina with a medical specialization in Internal Medicine, focusing in rheumatology and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1912291212 assigned on June 2011. The practitioner's primary taxonomy code is 207RR0500X with license number 156564 (NC). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1912291212
- Provider Name
- LIANGYONG JIANG
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1850 W ARLINGTON BLVD GREENVILLE, NC 27834
- Location Phone
- (252) 413-6740
- Location Fax
- (252) 752-6600
- Mailing Address
- 1850 W ARLINGTON BLVD GREENVILLE, NC 27834
- Mailing Phone
- (252) 413-6740
- Mailing Fax
- (252) 752-6600
- Medical School Name
- OTHER
- Graduation Year
- 1991
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-03-2011
- Last Update Date
- 05-07-2014
- Code Navigator
An internist like Liangyong Jiang is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 156564
- License State
- NC
- Taxonomy Description
- An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
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
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
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 |
---|---|---|---|
NC1903B | MEDICARE PIN (08) | NC |
Medicare Participation & PECOS Enrollment Status
Liangyong Jiang 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.
Liangyong Jiang 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: 6305017179
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: I20110927000894
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.
Administration of chemotherapy into vein, 1 hour or less
Administration of chemotherapy into vein, each additional hour
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid large joint using ultrasound guidance
Blood creatinine level
Blood test, comprehensive group of blood chemicals
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Creatine kinase (cardiac enzyme) level, total
Detection test by immunoassay technique for hepatitis b surface antigen
Dxa bone density measurement of hip, pelvis, spine
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hepatitis b core antibody measurement
Hepatitis c antibody measurement
Infusion, normal saline solution, 250 cc
Injection into tendon or ligament
Injection of drug or substance under skin or into muscle
Injection, denosumab, 1 mg
Injection, methylprednisolone acetate, 40 mg
Injection, methylprednisolone acetate, 80 mg
Insertion of needle into vein for collection of blood sample
Interpretation of trabecular bone score (tbs) and report on fracture risk
Liver enzyme (sgot), level
Liver enzyme (sgpt), level
Manual urinalysis test with examination using microscope, automated
Measurement c-reactive protein for detection of infection or inflammation
Measurement of antibody for assessment of autoimmune disorder, any method
Measurement of antibody for rheumatoid arthritis assessment
Measurement of dna antibody, native or double stranded
Measurement of dna antibody, single stranded
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Red blood cell sedimentation rate, to detect inflammation, automated
Rheumatoid factor level
Tuberculosis test, gamma interferon
Uric acid level, blood
Vitamin d-3 level
X-ray of both hips, 2 views
X-ray of both knees while standing
X-ray of foot, 2 views
X-ray of foot, minimum of 3 views
X-ray of hand, 2 views
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 3 views
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of middle spine, 2 views
X-ray of pelvis, 1-2 views
X-ray of shoulder, minimum of 2 views
X-ray of upper spine, 2-3 views
X-ray of upper spine, 4-5 views
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
This service was performed 102 times for 19 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.
This service was performed 78 times for 16 patientsThis procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 84 times for 60 patientsThis procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
This service was performed 19 times for 18 patientsA blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
This service was performed 396 times for 207 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 87 times for 81 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 479 times for 242 patientsThe total Creatine Kinase (CK) level test is a blood test that helps assess the health of your heart. It measures an enzyme called CK that's released into the bloodstream when heart or other muscle tissue is damaged. High levels may indicate a heart attack or muscle disorder.
This service was performed 31 times for 18 patientsThis test helps identify the presence of hepatitis B in your body. It uses an immunoassay technique, which is a highly sensitive method that detects the hepatitis B surface antigen, a protein on the virus. This test can help diagnose an active infection or determine if you're a carrier.
This service was performed 24 times for 24 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 192 times for 191 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 675 times for 399 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 262 times for 171 patientsHepatitis B core antibody measurement is a test conducted to determine if you have been infected with the Hepatitis B virus in the past. It involves taking a blood sample and analyzing it in a lab. This test aids in diagnosing and managing Hepatitis B infections.
This service was performed 23 times for 23 patientsHepatitis C antibody measurement is a blood test to check if you have been exposed to the Hepatitis C virus. This virus affects your liver. If the test is positive, it means you have had the virus at some point. Additional tests are needed to determine if the virus is currently active.
This service was performed 23 times for 23 patientsAn infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
This service was performed 83 times for 16 patientsAn injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
This service was performed 26 times for 17 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 45 times for 22 patientsDenosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
This service was performed 2,040 times for 19 patientsMethylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
This service was performed 81 times for 66 patientsMethylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
This service was performed 25 times for 25 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 524 times for 293 patientsThe Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.
This service was performed 42 times for 42 patientsA Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
This service was performed 382 times for 200 patientsA liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
This service was performed 392 times for 202 patientsA manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
This service was performed 37 times for 31 patientsC-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
This service was performed 360 times for 212 patientsThis procedure measures the level of specific antibodies in your body to assess if you have an autoimmune disorder. Antibodies are proteins your immune system produces. In autoimmune disorders, these antibodies mistakenly attack your own cells. This test helps identify such conditions.
This service was performed 182 times for 26 patientsThis procedure measures the level of certain antibodies in your blood. These antibodies can be higher in people with rheumatoid arthritis, a condition causing joint inflammation. The test helps in diagnosing or monitoring the disease.
This service was performed 56 times for 55 patientsThe measurement of DNA antibody, native or double stranded, is a blood test that helps detect autoimmune disorders, such as lupus. It identifies if your body is producing antibodies against its own DNA, which can indicate an overactive immune response.
This service was performed 26 times for 26 patientsThe measurement of single-stranded DNA antibodies is a blood test. It is conducted to detect autoantibodies that might be present in your body, which can indicate certain autoimmune disorders. This test helps in diagnosing and monitoring these conditions.
This service was performed 26 times for 26 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 33 times for 33 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 89 times for 89 patientsThe Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
This service was performed 104 times for 88 patientsThe Rheumatoid Factor Level test is a blood test that helps detect the presence of Rheumatoid Factor (RF), a protein produced by your immune system. High RF levels often indicate autoimmune diseases like rheumatoid arthritis. The test involves a simple blood draw and lab analysis.
This service was performed 40 times for 39 patientsA gamma interferon tuberculosis test is a blood test used to diagnose tuberculosis, a serious lung disease. The test measures your immune system's response to TB bacteria. It's a safe, straightforward procedure that can help ensure your health.
This service was performed 23 times for 23 patientsA blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.
This service was performed 73 times for 42 patientsA Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
This service was performed 16 times for 16 patientsAn X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.
This service was performed 16 times for 16 patientsAn X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
This service was performed 21 times for 21 patientsAn X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
This service was performed 18 times for 11 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 45 times for 32 patientsAn X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
This service was performed 102 times for 68 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 78 times for 77 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 53 times for 42 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 47 times for 39 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 49 times for 49 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 121 times for 121 patientsAn X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.
This service was performed 22 times for 22 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 18 times for 18 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 87 times for 77 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 18 times for 18 patientsAn X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
This service was performed 43 times for 42 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 27834 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.
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 |
---|---|---|
Breast Cancer Screening | 25% | 640 |
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
Colorectal Cancer Screening | 11% | 924 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Diabetes: Eye Exam | 12% | 145 |
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
Diabetes: Foot Exam | 21% | 145 |
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year | ||
Diabetes: Medical Attention for Nephropathy | 83% | 145 |
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
Documentation of Current Medications in the Medical Record | 99% | 3223 |
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 | ||
Electronic submission of Patient Centered Medical Home accreditation | Yes | N/A |
I attest that I am a Patient Centered Medical Home (PCMH) or Comparable Specialty Practice that has achieved certification from a national program, regional or state program, private payer, or other body that administers patient-centered medical home accreditation and should receive full credit for the Improvement Activities performance category. | ||
e-Prescribing | 91% | 3674 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Falls: Screening for Future Fall Risk | 1% | 550 |
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
Health Information Exchange | 81% | 47 |
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. | ||
Immunization Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
Medication Reconciliation | 97% | 765 |
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. | ||
Patient-Specific Education | 54% | 1556 |
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. | ||
Pneumococcal Vaccination Status for Older Adults | 37% | 550 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
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 | 23% | 1490 |
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: Influenza Immunization | 12% | 847 |
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 0% | 1384 |
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 56% | 71 |
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 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
Provide Patient Access | 95% | 1556 |
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 | 17% | 1556 |
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. | ||
Specialized Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 72% | 170 |
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR - Adults aged >=21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL; OR - Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL | ||
Use of High-Risk Medications in the Elderly | 13% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 550 |
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 |
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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 | 9 | 1 | 2 | 2 | 9 | 1 | 2 | 1 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 2 | 2 | 4 | 9 | 2 | 2 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 2 + 2 + 4 + 9 + 2 + 2 + 2 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1912291212 is valid because the calculated check digit 2 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 |
---|---|---|---|
1053314062 | DR. RICHARD MANN MD Individual | Internal Medicine (Pulmonary Disease) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1811990062 | DR. THOMAS J CHAPLINSKI MD Individual | Specialist | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1417951260 | HOWARD ROBERTSON MD Individual | Colon & Rectal Surgery | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1598761967 | PHYSICIANS EAST, P.A. Organization | Clinic/Center (Multi-Specialty) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1306804414 | VICKI MCLAWHORN FNP Individual | Nurse Practitioner (Family) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1922066281 | SUZANNE WOOLARD FNP Individual | Nurse Practitioner (Family) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1336107093 | JENNIFER ELIAS LDN Individual | Dietitian, Registered | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1184673378 | QUADRANGLE ENDOSCOPY CENTER, INC. Organization | Clinic/Center (Endoscopy) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1801812151 | RADHIKA SHAH MD Individual | Internal Medicine | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1912334442 | ASHLEY PEADEN RD, LDN Individual | Dietitian, Registered | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 413-6683 |
1942612262 | PHYSICIANS EAST PA Organization | Non-Pharmacy Dispensing Site | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1932102050 | DR. MARK DELLASEGA MD Individual | Internal Medicine (Gastroenterology) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1447253588 | DR. RICHARD CROSKERY MD Individual | Internal Medicine | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1871596932 | DR. ROBERT DIETRICH MD Individual | Internal Medicine (Pulmonary Disease) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1275538639 | PATRICK BRILLANT M.D. Individual | Colon & Rectal Surgery | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1568449080 | DR. RUSSELL JAMES KILPATRICK M.D. Individual | Dermatology | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 413-6740 |
1164480026 | ROBERT WAYNE COX MD Individual | Family Medicine | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 413-6202 |
1932306784 | SUSAN L. MCKNIGHT P.A. Individual | Physician Assistant | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 413-6740 |
1033112081 | DR. JOHN PATRICK FOGARTY MD Individual | Internal Medicine (Pulmonary Disease) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
1972506921 | DR. DUNCAN FAGUNDUS MD Individual | Internal Medicine (Rheumatology) | 1850 W ARLINGTON BLVD GREENVILLE, NC 27834 (252) 752-6101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912291212, enumerated in the NPI registry as an "individual" on June 03, 2011
The provider is located at 1850 W Arlington Blvd Greenville, Nc 27834 and the phone number is (252) 413-6740
The provider's speciality is Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology
The provider has more than 35 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare,. 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 $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: Administration of chemotherapy into vein, 1 hour or less, Administration of chemotherapy into vein, each additional hour, Aspiration and/or injection of fluid from large joint, Aspiration and/or injection of fluid large joint using ultrasound guidance, Blood creatinine level, Blood test, comprehensive group of blood chemicals, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Creatine kinase (cardiac enzyme) level, total, Detection test by immunoassay technique for hepatitis b surface antigen, Dxa bone density measurement of hip, pelvis, spine, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hepatitis b core antibody measurement, Hepatitis c antibody measurement, Infusion, normal saline solution, 250 cc, Injection into tendon or ligament, Injection of drug or substance under skin or into muscle, Injection, denosumab, 1 mg, Injection, methylprednisolone acetate, 40 mg, Injection, methylprednisolone acetate, 80 mg, Insertion of needle into vein for collection of blood sample, Interpretation of trabecular bone score (tbs) and report on fracture risk, Liver enzyme (sgot), level, Liver enzyme (sgpt), level, Manual urinalysis test with examination using microscope, automated, Measurement c-reactive protein for detection of infection or inflammation, Measurement of antibody for assessment of autoimmune disorder, any method, Measurement of antibody for rheumatoid arthritis assessment, Measurement of dna antibody, native or double stranded, Measurement of dna antibody, single stranded, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Red blood cell sedimentation rate, to detect inflammation, automated, Rheumatoid factor level, Tuberculosis test, gamma interferon, Uric acid level, blood, Vitamin d-3 level, X-ray of both hips, 2 views, X-ray of both knees while standing, X-ray of foot, 2 views, X-ray of foot, minimum of 3 views, X-ray of hand, 2 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, minimum of 4 views, X-ray of middle spine, 2 views, X-ray of pelvis, 1-2 views, X-ray of shoulder, minimum of 2 views, X-ray of upper spine, 2-3 views and X-ray of upper spine, 4-5 views.
This NPI record was last updated on June 03, 2011. 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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