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JOHN TEMPLETON M.D.
NPI 1043290695
Pediatrics in Asheville, NC

Active since January 19, 2006PECOS Enrolled
40 N MERRIMON AVE STE 117, ASHEVILLE, NC 28804(828) 348-8232(855) 323-6740 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Templeton M.d. NPPES

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

JOHN TEMPLETON M.D. (NPI 1043290695) is an individual pediatrics provider in Asheville, North Carolina, licensed in North Carolina (200000996) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043290695
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN TEMPLETONCredential: M.D.
Location Address40 N MERRIMON AVE STE 117Asheville, NC 28804-1368
Mailing Address40 N Merrimon Ave Ste 117Asheville, NC 28804-1368 · (828) 348-8232 · Fax (855) 323-6740
Phone(828) 348-8232
Fax(855) 323-6740
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMarch 25, 2016
✔ NPI 1043290695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 200000996✔ Licensed in SC · 33115
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

40 N MERRIMON AVE STE 117, Asheville, NC 28804
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Other Identifiers 4

Medicare UPINI34896
Medicare PINNCL371E134NC
MedicaidQ96000SC
Medicaid8912886NC

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Templeton 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28804 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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%23 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
51%256 patients3/55-star benchmark: 96%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 84% · 1,203 patients
Patients physicalActivity: 84% · 1,203 patients
99%1,202 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 3

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

DR. LAUREN KEELY CARLISLE M.D.
Pediatrics
40 N MERRIMON AVE STE 117
ASHEVILLE, NC 28804
Buncombe County (828) 348-8232
MARGARET AVERY WHITE MD
Pediatrics
40 N MERRIMON AVE STE 117
ASHEVILLE, NC 28804
Buncombe County (828) 348-8232
MRS. KRISTINA REYNOLDS BEARDSLEY M.D.
Pediatrics
40 N MERRIMON AVE STE 117
ASHEVILLE, NC 28804
Buncombe County (828) 348-8232

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 John Templeton's NPI number?

The NPI number for John Templeton is 1043290695. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is John Templeton located?

John Templeton practices at 40 N Merrimon Ave Ste 117, Asheville, NC 28804. The listed phone number is (828) 348-8232.

What is John Templeton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Templeton enrolled in Medicare?

Yes. John Templeton is registered in the Medicare PECOS enrollment system.

What insurance does John Templeton accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list John Templeton 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 John Templeton was last updated on March 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.