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ELAINE STEARNEY
NPI 1013546076
Emergency Medicine in Lumberton, NC

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
300 W. 27H STREET, LUMBERTON, NC 28358(910) 671-5000 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elaine Stearney NPPES

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

ELAINE STEARNEY (NPI 1013546076) is an individual emergency medicine provider in Lumberton, North Carolina, licensed in North Carolina (2023-02282) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Randolph Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013546076
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameELAINE STEARNEY
Location Address300 W. 27H STREETLumberton, NC 28358
Mailing Address401 Matthew St, Ferguson BuildingMarietta, OH 45750
Phone(910) 671-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1013546076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2023-02282
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 W. 27H STREET, Lumberton, NC 28358
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elaine Stearney 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 ID4981068269
PECOS Enrollment IDI20230920000660
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Elaine Stearney reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robeson Emergency Physicians, PLLC
Same address
Emergency Medicine
300 W 27TH ST
Lumberton, NC 28358
  • Reassigned Medicare billing, North Carolina enrollment
  • 119 clinicians in this Medicare group
NPI 1801375373 (910) 671-5000
American Healthcare Systems, LLC
76 mi
Family Medicine
514 N BROAD ST
Seagrove, NC 27341
  • Reassigned Medicare billing, North Carolina enrollment
  • 98 clinicians in this Medicare group
NPI 1275128316 (336) 873-8045
Des Moines River Physicians, LLC
905 mi
Emergency Medicine
204 N 4TH AVE E
Newton, IA 50208
  • Reassigned Medicare billing, Iowa enrollment
  • 110 clinicians in this Medicare group
NPI 1174907703 (641) 792-1273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
158 services148 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
111 services103 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
87 services86 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elaine Stearney's NPI number?

The NPI number for Elaine Stearney is 1013546076. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Elaine Stearney located?

Elaine Stearney practices at 300 W. 27H Street, Lumberton, NC 28358. The listed phone number is (910) 671-5000.

What is Elaine Stearney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Elaine Stearney enrolled in Medicare?

Yes. Elaine Stearney 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.

Which organizations bill Medicare for Elaine Stearney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Stearney reassigns Medicare benefits to 3 organizations: Robeson Emergency Physicians, PLLC (Lumberton, NC), American Healthcare Systems, LLC (Seagrove, NC) and Des Moines River Physicians, LLC (Newton, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elaine Stearney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elaine Stearney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Elaine Stearney 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.

Is Elaine Stearney affiliated with any hospitals?

According to CMS data, Elaine Stearney is affiliated with Randolph Hospital.

When was this NPI record last updated?

The NPPES record for Elaine Stearney was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.