JOSHUA CALVIN YELVERTON MD NPI 1003043399

Otolaryngology in Gastonia, NC

NPI 1003043399 Individual Male Years of Experience 13 Otolaryngology PECOS Enrolled Accepts Medicare Approved Payment

About JOSHUA YELVERTON

Joshua Yelverton is a provider established in Gastonia, North Carolina and his medical specialization is otolaryngology with more than 13 years of experience. He graduated from Mercer University School Of Medicine in 2009. The NPI number of Joshua Yelverton is 1003043399 and was assigned on June 2009. The practitioner's primary taxonomy code is 207Y00000X with license number 2014-02409 (NC). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Joshua Yelverton is enrolled in PECOS and is eligible to order or refer healthcare 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

Joshua Yelverton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Atrium Health Cleveland and Carolinas Medical Center/behav Health.

NPI

1003043399

Provider Name JOSHUA CALVIN YELVERTON MD
Provider Location Address2520 ABERDEEN BLVD GASTONIA, NC 28054
Provider Mailing Address2520 ABERDEEN BLVD GASTONIA, NC 28054
GenderMale
NPI Entity TypeIndividual
Medical School NameMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-15-2009
Last Update Date05-09-2017


Primary Taxonomy

Taxonomy Code207Y00000X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.2014-02409
License StateNC
Taxonomy DescriptionAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Business Address

JOSHUA CALVIN YELVERTON MD
2520 ABERDEEN BLVD
GASTONIA, NC
ZIP 28054
Phone: (704) 868-8400

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Mailing Address

JOSHUA CALVIN YELVERTON MD
2520 ABERDEEN BLVD
GASTONIA, NC
ZIP 28054
Phone: (704) 868-8400
Fax: (704) 868-8493



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2961641337
PECOS Enrollment IDI20150914000090
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 104Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • 43Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • 23Removal of impact ear wax, one ear (HCPCS:69210)
  • 20Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • 13Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • 13Eardrum testing using ear probe (HCPCS:92567)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Joshua Yelverton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ATRIUM HEALTH CLEVELAND201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000Acute Care Hospitals340021
CAROLINAS MEDICAL CENTER/BEHAV HEALTH1000 BLYTHE BLVD
CHARLOTTE, NC 28203
(704) 355-2000Acute Care Hospitals340113

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699760702ENT CAROLINA PA
Organization
Specialist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1669467262 JOHN REGINALD COLLIER M.D.
Individual
Specialist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1003801606 FREDERIC EVAN LEVY M.D.
Individual
Specialist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1750337010DR. MARK EDWIN REIBER MD
Individual
Specialist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1255544755MRS. KATHERINE M HIPPS
Individual
Hearing Instrument Specialist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1538326095 CAROLYN E. THOMPSON AUD CC-A
Individual
Hearing Instrument Specialist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1174577142 LUNA BAILEY MD
Individual
Otolaryngology2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1386932465MRS. LINDSAY RADKO KNUTH AUD
Individual
Hearing Instrument Specialist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1598112534MR. JUSTIN SCOTT TESH AU.D.
Individual
Audiologist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1992918932DR. THOMAS GORDON BOCCHINO AU.D
Individual
Audiologist2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400
1174643894DR. MICHAEL THOMAS GASLIN MD
Individual
Otolaryngology2520 ABERDEEN BLVD
GASTONIA, NC 28054
(704) 868-8400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.