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JAMES MICHAEL EGBERT JR. M.D.
NPI 1023089109
Surgery in Bayboro, NC

Active since January 27, 2006PECOS Enrolled
98.33/100
CMS Quality Rating
CONTENTNEA HEALTH - PAMLICO, 313 MAIN ST, BAYBORO, NC 28515(252) 745-2070 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2024, Jan 14, 2022 (2 updates tracked since 2022).

About James Michael Egbert Jr. M.d. NPPES

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

JAMES MICHAEL EGBERT JR. M.D. (NPI 1023089109) is an individual surgery provider in Bayboro, North Carolina, licensed in North Carolina (2007-00980) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023089109
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES MICHAEL EGBERT JR.Credential: M.D.
Location AddressCONTENTNEA HEALTH - PAMLICO, 313 MAIN STBayboro, NC 28515
Mailing AddressPo Box 698Washington, NC 27889-0698 · (252) 944-1296
Phone(252) 745-2070
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1023089109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2007-00980✔ Licensed in SC · 20321✔ Licensed in NE · 23188
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2007-00980 (NC)
CONTENTNEA HEALTH - PAMLICO, Bayboro, NC 28515
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Other Names 1

Other Name (5)James M Egbert

Other Identifiers 1

Medicaid891452FNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Michael Egbert Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show James Egbert reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greene County Health Care Incorporated
16 mi
Federally Qualified Health Center (FQHC)
313 MAIN ST
Bayboro, NC 28515
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Greene County Health Care Incorporated Contentnea Health
  • 39 clinicians in this Medicare group
NPI 1619244084 (252) 745-2070
Albemarle Physician Services - Sentara, Inc
93 mi
Neurology
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1407124654 (252) 384-4804
Carolinas Physicians Network Inc
162 mi
Family Medicine
835 ALBEMARLE RD
Troy, NC 27371
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1548664303 (910) 572-2309
The Charlotte-Mecklenburg Hospital Authority
172 mi
Family Medicine
2301 US HIGHWAY 74 W
Wadesboro, NC 28170
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1538637137 (704) 994-4900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28515 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
$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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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 James Egbert's NPI number?

The NPI number for James Egbert is 1023089109. It was assigned to this individual provider in the NPPES registry on January 27, 2006. The provider is also known as James M Egbert.

Where is James Egbert located?

James Egbert practices at Contentnea Health - Pamlico 313 Main St, Bayboro, NC 28515. The listed phone number is (252) 745-2070.

What is James Egbert's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Egbert enrolled in Medicare?

Yes. James Egbert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Egbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Egbert reassigns Medicare benefits to 4 organizations: Greene County Health Care Incorporated (Bayboro, NC), Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC), Carolinas Physicians Network Inc (Troy, NC) and The Charlotte-Mecklenburg Hospital Authority (Wadesboro, NC). 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 James Egbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Egbert accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list James Egbert 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 James Egbert was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.