MICHAEL A PRITCHETT D.O.
NPI 1023055761
Internal Medicine - Pulmonary Disease in Pinehurst, NC

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
205 PAGE ROAD, PINEHURST, NC 28374(910) 295-9359(910) 235-3401 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael A Pritchett D.o. NPPES

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

MICHAEL A PRITCHETT D.O. (NPI 1023055761) is an individual pulmonary disease provider in Pinehurst, North Carolina, licensed in North Carolina (2008-01402) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and maintains a secondary practice location in Pinehurst.

NPPES Registry Identity

NPI1023055761
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL A PRITCHETTCredential: D.O.
Location Address205 PAGE ROADPinehurst, NC 28374-8798
Mailing Address205 Page RoadPinehurst, NC 28374-8798 · (910) 295-5511
Fax(910) 235-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 1, 2006
Last NPPES UpdateJanuary 23, 2018
NPI 1023055761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 2008-01402
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

205 PAGE ROAD, Pinehurst, NC 28374

Secondary Practice Location 1

Location 1205 Page RoadPinehurst, NC 28374-8798 · Phone (910) 295-9359 · Fax (910) 235-3401

Other Identifiers 5

Other1498RBcbs Nc
OtherFH2967645Firstcarolinacare
OtherN01408SC · Sc Medicaid
Medicaid5910122NC
OtherP00644090Railroad Medicare

Accepted 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

Michael A Pritchett D.o. 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 ID1557438512
PECOS Enrollment IDI20080917000712
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 34

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.

Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
981 services489 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
836 services420 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
616 services277 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
562 services282 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
429 services216 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
304 services255 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers81 claims81 services$42.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers69 claims69 services$109.69 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers73 claims197 services$42.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers20 claims116 services$22.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers29 claims29 services$65.34 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers50 claims50 services$22.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Dermatology
205 PAGE ROAD
PINEHURST, NC 28374
Nurse Practitioner (Family)
205 PAGE ROAD
PINEHURST, NC 28374
Physician Assistant
205 PAGE ROAD
PINEHURST, NC 28374
Nurse Practitioner
205 PAGE ROAD
PINEHURST, NC 28374
Hospitalist
205 PAGE ROAD
PINEHURST, NC 28374
Physician Assistant
205 PAGE ROAD
PINEHURST, NC 28374
Internal Medicine (Endocrinology, Diabetes & Metabolism)
205 PAGE ROAD
PINEHURST, NC 28374

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 Michael Pritchett's NPI number?

The NPI number for Michael Pritchett is 1023055761. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Michael Pritchett located?

Michael Pritchett practices at 205 Page Road, Pinehurst, NC 28374. The listed phone number is (910) 295-9359.

What is Michael Pritchett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Pritchett enrolled in Medicare?

Yes. Michael Pritchett 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 Michael Pritchett accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Michael Pritchett 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 Michael Pritchett affiliated with any hospitals?

According to CMS data, Michael Pritchett is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Pritchett was last updated on January 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.