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IAN FRANK MARC VERHAEGHE
NPI 1043832454
Nurse Practitioner - Family in Boone, NC

Active since May 08, 2020PECOS Enrolled
93.24/100
CMS Quality Rating
331 DEERFIELD ESTATES RD, BOONE, NC 28607(919) 623-8709 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2020, May 8, 2020 (2 updates tracked since 2020).

About Ian Frank Marc Verhaeghe NPPES

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

IAN FRANK MARC VERHAEGHE (NPI 1043832454) is an individual family provider in Boone, North Carolina, licensed in North Carolina (5013164) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043832454
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameIAN FRANK MARC VERHAEGHE
Location Address331 DEERFIELD ESTATES RDBoone, NC 28607-4192
Mailing Address331 Deerfield Estates RdBoone, NC 28607-4192 · (919) 623-8709
Phone(919) 623-8709
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 8, 2020
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1043832454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5013164
Also ListedRegistered NurseTaxonomy 163W00000X · License 296371 (NC)
331 DEERFIELD ESTATES RD, Boone, NC 28607
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Accepted Insurance

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

Ian Frank Marc Verhaeghe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779906714
PECOS Enrollment IDI20200708003442
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,464 services284 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,028 services316 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
640 services279 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
25 services24 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims50 services$5.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims15 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$19.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims36 services$115.67 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers13 claims13 services$154.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ian Verhaeghe's NPI number?

The NPI number for Ian Verhaeghe is 1043832454. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Ian Verhaeghe located?

Ian Verhaeghe practices at 331 Deerfield Estates Rd, Boone, NC 28607. The listed phone number is (919) 623-8709.

What is Ian Verhaeghe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ian Verhaeghe enrolled in Medicare?

Yes. Ian Verhaeghe is registered in the Medicare PECOS enrollment system.

What insurance does Ian Verhaeghe accept?

Health plans from Blue Cross and Blue Shield of NC list Ian Verhaeghe 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 Ian Verhaeghe affiliated with any hospitals?

According to CMS data, Ian Verhaeghe is affiliated with Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for Ian Verhaeghe was last updated on June 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.