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DR. ROBERT HOWARD MCCONVILLE JR. MD
NPI 1104820133
Family Medicine in Sanford, NC

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
1125 CARTHAGE ST, SANFORD, NC 27330(919) 774-6023(919) 776-6359 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Robert Howard Mcconville Jr. Md NPPES

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

DR. ROBERT HOWARD MCCONVILLE JR. MD (NPI 1104820133) is an individual family medicine provider in Sanford, North Carolina, licensed in North Carolina (20316) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and is a graduate of Indiana University School Of Medicine (1972).

NPPES Registry Identity

NPI1104820133
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT HOWARD MCCONVILLE JR.Credential: MD
Location Address1125 CARTHAGE STSanford, NC 27330-4162
Mailing Address1125 Carthage StSanford, NC 27330-4162 · (919) 774-6023 · Fax (919) 776-6359
Phone(919) 774-6023
Fax(919) 776-6359
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1972
Enumeration DateJune 8, 2005
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1104820133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 20316
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1125 CARTHAGE ST, Sanford, NC 27330
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Other Identifiers 8

Other133545617NC · Tricare
Other270326NC · Mamsi
Other27772NC · Medcost
Other3913NC · Partners
Other412013354NC · Rr Medicare
Other55856NC · Bcbs
Other0138851NC · United Healthcare
Medicaid8955856NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Howard Mcconville Jr. 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 ID5294639126
PECOS Enrollment IDI20050824000063
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Mcconville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dlp Central Carolina Medical Group LLC
Same address
Rural Health
1125 CARTHAGE ST
Sanford, NC 27330
  • Reassigned Medicare billing, North Carolina enrollment
  • 92 clinicians in this Medicare group
NPI 1174208813 (919) 774-6023

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
40 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
39 services35 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services13 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340020
Location1135 Carthage StSanford, NC 27330 · Lee County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 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.

Referred Medical Equipment & Supplies CMS DME claims 17

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
14 suppliers142 claims339 services$5.94 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers21 claims21 services$2.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers60 claims87 services$1.10 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers19 claims19 services$45.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers14 claims14 services$107.56 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims33 services$44.67 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 11

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

DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Clinic/Center (Rural Health)
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023
ANDREW CHARLES CALDWELL DO
Family Medicine
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Family Medicine
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023
DR. PARKER SARRIS MCCONVILLE MD
Family Medicine
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023
KEN-SHIH FAN DO
Family Medicine
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023
DR. MICHELE IMOGENE HENSLEY M.D.
Family Medicine
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023
MRS. TIESHA RENEE WARD DNP, FNP-C
Nurse Practitioner (Family)
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023
MRS. JUNE CRANFORD PECK FNP
Nurse Practitioner (Family)
1125 CARTHAGE ST
SANFORD, NC 27330
Lee County (919) 774-6023

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 Robert Mcconville's NPI number?

The NPI number for Robert Mcconville is 1104820133. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Robert Mcconville located?

Robert Mcconville practices at 1125 Carthage St, Sanford, NC 27330. The listed phone number is (919) 774-6023.

What is Robert Mcconville's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Mcconville enrolled in Medicare?

Yes. Robert Mcconville 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.

Which organization bills Medicare for Robert Mcconville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Mcconville reassigns Medicare benefits to Dlp Central Carolina Medical Group LLC (Sanford, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Mcconville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Mcconville accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Robert Mcconville 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 Robert Mcconville affiliated with any hospitals?

According to CMS data, Robert Mcconville is affiliated with Central Carolina Hospital, Unc Hospitals and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Robert Mcconville was last updated on June 23, 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.