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ALAN SEGAL
NPI 1003816158
Obstetrics & Gynecology in Albemarle, NC

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
105 YADKIN ST, SUITE 102, ALBEMARLE, NC 28001(980) 323-5330 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2018, Oct 24, 2018, Oct 18, 2018 and 2 more (5 updates tracked since 2018).

About Alan Segal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAN SEGAL (NPI 1003816158) is an individual obstetrics & gynecology provider in Albemarle, North Carolina, licensed in North Carolina (9800690) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1003816158
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameALAN SEGAL
Location Address105 YADKIN ST, SUITE 102Albemarle, NC 28001-3449
Mailing Address105 Yadkin StAlbemarle, NC 28001-3449
Phone(980) 323-5330
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 29, 2005
Last NPPES UpdateNovember 8, 20185 updates tracked since enumeration
✔ NPI 1003816158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 9800690
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
105 YADKIN ST, Albemarle, NC 28001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alan Segal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254465107
PECOS Enrollment IDI20100814000246
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%207 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
91%1,362 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,300 patients4/55-star benchmark: 99%
Health Information Exchange
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…
12%362 patients1/55-star benchmark: 88%
Medication Reconciliation
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.
100%429 patients5/55-star benchmark: 100%
Patient-Specific Education
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.
18%2,080 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
33%1,239 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
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
Patients screenedForUse: 97% · 1,188 patients
Patients tobacco: 10% · 20 patients
94%1,188 patients4/55-star benchmark: 98%
Provide Patient Access
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…
100%2,080 patients5/55-star benchmark: 100%
Secure Messaging
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…
82%2,080 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
80%2,080 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLA ZEMLYAK MD
Surgery
105 YADKIN ST, STE 203
ALBEMARLE, NC 28001
Stanly County (980) 323-5300
DR. TANYA RUSSO DO
Pediatrics
105 YADKIN ST, SUITE 303
ALBEMARLE, NC 28001
Stanly County (803) 532-2208
STANLY MEDICAL SERVICES
Orthopaedic Surgery (Sports Medicine)
105 YADKIN ST, STE 101
ALBEMARLE, NC 28001
Stanly County (704) 983-5195
MR. LANNY LEE MONROE JR. MD
Pediatrics
105 YADKIN ST, SUITE 303
ALBEMARLE, NC 28001
Stanly County (704) 982-2683
THOMAS JOSEPH MCDONALD JR. MD
Obstetrics & Gynecology
105 YADKIN ST, STE 102
ALBEMARLE, NC 28001
Stanly County (980) 323-5330
SUSAN LYNN RUSSELL THOMAS FNP
Nurse Practitioner (Family)
105 YADKIN ST, STE 303
ALBEMARLE, NC 28001
Stanly County (980) 323-5400
CAROLINAS PHYSICIANS NETWORK INC
Obstetrics & Gynecology
105 YADKIN ST, STE 102
ALBEMARLE, NC 28001
Stanly County (980) 323-5330
KRISTINA L. KELLY MD
Pediatrics
105 YADKIN ST, STE 303
ALBEMARLE, NC 28001
Stanly County (980) 323-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Segal's NPI number?

The NPI number for Alan Segal is 1003816158. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Alan Segal located?

Alan Segal practices at 105 Yadkin St Suite 102, Albemarle, NC 28001. The listed phone number is (980) 323-5330.

What is Alan Segal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alan Segal enrolled in Medicare?

Yes. Alan Segal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alan Segal accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Insurance Company and UnitedHealthcare list Alan Segal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alan Segal was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.