DANIEL J ALBRIGHT MD
NPI 1053314922
Orthopaedic Surgery in Raleigh, NC

Active since May 24, 2005PECOS Enrolled
87.95/100
CMS Quality Rating
3001 EDWARDS MILL RD, SUITE 200, RALEIGH, NC 27612(919) 781-5600(919) 782-6578 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2021, Mar 29, 2021, Jan 27, 2020 and 2 more (5 updates tracked since 2016).

About Daniel J Albright Md NPPES

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

DANIEL J ALBRIGHT MD (NPI 1053314922) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (93-00643) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1987).

NPPES Registry Identity

NPI1053314922
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDANIEL J ALBRIGHTCredential: MD
Location Address3001 EDWARDS MILL RD, SUITE 200Raleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd Ste 200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821
Fax(919) 782-6578
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1987
Enumeration DateMay 24, 2005
Last NPPES UpdateMay 6, 20215 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
NPI 1053314922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 93-00643
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 93-00643 (NC)
3001 EDWARDS MILL RD, Raleigh, NC 27612

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 (PECOS)

Daniel J Albright Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426951021
PECOS Enrollment IDI20050719000621
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
464 services106 patients
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.
407 services309 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
300 services227 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
176 services176 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
131 services127 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
118 services109 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.11
Promoting Interoperability98
Improvement Activities40
Cost74.41

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%25 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%1,609 patients5/55-star benchmark: 100%
e-Prescribing
99%136 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%838 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,592 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,600 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 1,593 patients
Patients screened: 88% · 1,593 patients
92%92 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,675 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%98 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 892 patients
Patients totalRate: 1% · 892 patients
0%892 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier53 claims54 services$56.92 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
2 suppliers36 claims37 services$751.14 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 20

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

Orthopaedic Surgery
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD, 300
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Physical Therapist
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612

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 Daniel Albright's NPI number?

The NPI number for Daniel Albright is 1053314922. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Daniel Albright located?

Daniel Albright practices at 3001 Edwards Mill Rd Suite 200, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is Daniel Albright's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Daniel Albright enrolled in Medicare?

Yes. Daniel Albright is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Albright accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Daniel Albright 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 Daniel Albright affiliated with any hospitals?

According to CMS data, Daniel Albright is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Albright was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.