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HENRY MATTHEW VANPALA NP
NPI 1023518339
Nurse Practitioner - Adult Health in Raleigh, NC

Active since February 14, 2018PECOS EnrolledAccepts Medicare Assignment
1631 MIDTOWN PL STE 101, RALEIGH, NC 27609(919) 977-1675 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henry Matthew Vanpala Np NPPES

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

HENRY MATTHEW VANPALA NP (NPI 1023518339) is an individual adult health provider in Raleigh, North Carolina, licensed in North Carolina (5010294) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023518339
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameHENRY MATTHEW VANPALACredential: NP
Location Address1631 MIDTOWN PL STE 101Raleigh, NC 27609-1300
Mailing Address1631 Midtown Pl Ste 101Raleigh, NC 27609-1300 · (919) 977-1675
Phone(919) 977-1675
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 14, 2018
✔ NPI 1023518339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5010294
1631 MIDTOWN PL STE 101, Raleigh, NC 27609
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Henry Matthew Vanpala Np 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 ID7113261199
PECOS Enrollment IDI20181203000043
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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.

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
49%181 patients3/55-star benchmark: 93%
Cervical Cancer Screening
26%364 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
36%203 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
43%190 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
6%93 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%93 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,785 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
27%91 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%860 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
6%650 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%1,153 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 22% · 759 patients
21%759 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
42%208 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 103 patients
Patients totalRate: 17% · 108 patients
15%108 patients3/55-star benchmark: 100%
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.

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 Henry Vanpala's NPI number?

The NPI number for Henry Vanpala is 1023518339. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Henry Vanpala located?

Henry Vanpala practices at 1631 Midtown Pl Ste 101, Raleigh, NC 27609. The listed phone number is (919) 977-1675.

What is Henry Vanpala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Henry Vanpala enrolled in Medicare?

Yes. Henry Vanpala 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 Henry Vanpala accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Henry Vanpala 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 Henry Vanpala was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.