DR. MICHAEL T HOPKINS MD
NPI 1063474526
Internal Medicine - Hematology & Oncology in Edenton, NC

Q: What is Michael Hopkins's NPI number?

The NPI number for Michael Hopkins is 1063474526. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Michael Hopkins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Michael Hopkins was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

211 VIRGINIA RD, EDENTON, NC 27932(252) 482-6193(252) 482-6228 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael T Hopkins Md NPPES

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

DR. MICHAEL T HOPKINS MD (NPI 1063474526) is an individual hematology & oncology provider in Edenton, North Carolina, licensed in North Carolina (181331) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1063474526

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. MICHAEL T HOPKINSCredential: MD

Location Address211 VIRGINIA RDEdenton, NC 27932-9668

Mailing Address1514 Bateau LndgChesapeake, VA 23321-6603 · (757) 630-9138

Phone(252) 482-6193

Fax(252) 482-6228

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateApril 3, 2006

Last NPPES UpdateJanuary 13, 2022

NPPES CertifiedJanuary 13, 2022

✔ NPI 1063474526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in NC · 181331✔ Licensed in VA · 0101234930

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

211 VIRGINIA RD, Edenton, NC 27932

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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 and accepts Medicare assignment

Dr. Michael T Hopkins Md 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 ID5597927459

PECOS Enrollment IDI20120914000047

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 4

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.

488 services156 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.

199 services105 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 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.

24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340109

Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County

Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340147

Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County

Emergency services Birthing friendly

Ecu Health Bertie Hospital

Critical Access Hospitals · Windsor, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341304

Location1403 S King StWindsor, NC 27983 · Bertie County

Emergency services

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number341318

Location211 Virginia RdEdenton, NC 27932 · Chowan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27932 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

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.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

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.

CHRISTINE F LANDIS CRNA

Nurse Anesthetist, Certified Registered

211 VIRGINIA RD, ANESTHESIA DEPT
EDENTON, NC 27932

Chowan County (252) 482-6744

EAST CAROLINA HEALTH-CHOWAN INC.

Specialist

211 VIRGINIA RD
EDENTON, NC 27932

Chowan County (252) 482-6661

MRS. LAURIE HALSEY SIMMONS LCSW

Social Worker (Clinical)

211 VIRGINIA RD
EDENTON, NC 27932

Chowan County (252) 482-6347

CHERYL S CARROLL CRNA

Nurse Anesthetist, Certified Registered

211 VIRGINIA RD, ANESTHESIA DEPT
EDENTON, NC 27932

Chowan County (252) 482-6744

TRI-COUNTY ANESTHESIA AND PAIN MANAGEMENT PA

Anesthesiology

211 VIRGINIA RD, ANESTHESIA DEPT
EDENTON, NC 27932

Chowan County (252) 482-6744

MRS. HEATHER EVANS WILLIAMS AGACNP-BC

Nurse Practitioner (Acute Care)

211 VIRGINIA RD
EDENTON, NC 27932

Chowan County (252) 482-8451

EAST CAROLINA HEALTH - CHOWAN INC

General Acute Care Hospital (Critical Access)

211 VIRGINIA RD
EDENTON, NC 27932

Chowan County (252) 482-8451

EAST CAROLINA HEALTH - CHOWAN INC

General Acute Care Hospital (Critical Access)

211 VIRGINIA RD
EDENTON, NC 27932

Chowan County (252) 482-8451

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 Michael Hopkins's NPI number?

The NPI number for Michael Hopkins is 1063474526. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Michael Hopkins located?

Michael Hopkins practices at 211 Virginia Rd, Edenton, NC 27932. The listed phone number is (252) 482-6193.

What is Michael Hopkins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Michael Hopkins enrolled in Medicare?

Yes. Michael Hopkins 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 Michael Hopkins accept?

Health plans from Blue Cross and Blue Shield of NC list Michael Hopkins 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 Michael Hopkins affiliated with any hospitals?

According to CMS data, Michael Hopkins is affiliated with Ecu Health Medical Center, Sentara Albemarle Medical Center, Unc Health Nash, Ecu Health Bertie Hospital and Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Michael Hopkins was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.