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RUSSELL RAYMOND WILFORD JR. M.D.
NPI 1114213162
Internal Medicine in Pollocksville, NC

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
47.59/100
CMS Quality Rating
137 MEDICAL LN, POLLOCKSVILLE, NC 28573(252) 633-1010(252) 224-3071 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Russell Raymond Wilford Jr. M.d. NPPES

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

RUSSELL RAYMOND WILFORD JR. M.D. (NPI 1114213162) is an individual internal medicine provider in Pollocksville, North Carolina, licensed in North Carolina (2014-01345) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Smithfield.

NPPES Registry Identity

NPI1114213162
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUSSELL RAYMOND WILFORD JR.Credential: M.D.
Location Address137 MEDICAL LNPollocksville, NC 28573-8200
Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 633-1010 · Fax (252) 224-3071
Phone(252) 633-1010
Fax(252) 224-3071
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2011
Enumeration DateJune 28, 2011
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1114213162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2014-01345
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2014-01345 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
137 MEDICAL LN, Pollocksville, NC 28573
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Secondary Practice Location 1

Location 1509 N Brightleaf BlvdSmithfield, NC 27577-4407 · Phone (919) 938-7189

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Russell Raymond Wilford Jr. M.d. 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 ID5294953873
PECOS Enrollment IDI20140822001421
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 Reassignments

6

Medicare enrollment records show Russell Wilford reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinaeast Physicians
Same address
Internal Medicine
137 MEDICAL LN
Pollocksville, NC 28573
  • Reassigned Medicare billing, North Carolina enrollment
  • 320 clinicians in this Medicare group
NPI 1255632006 (252) 633-1010
Vidant Medical Group LLC
29 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200
Cogent Healthcare Of North Carolina, PC
76 mi
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
NPI 1548207483 (828) 456-7311
North Carolina Mg, LLC
101 mi
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100
Sound Physicians Of North Carolina, PLLC
105 mi
Hospitalist
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 77 clinicians in this Medicare group
NPI 1346661493 (252) 335-0531
Hospitalist Medicine Physicians Of North Carolina PLLC
163 mi
Internal Medicine
1200 N ELM ST, 5TH FLOOR
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 254 clinicians in this Medicare group
NPI 1164724902 (336) 832-5777

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

Hospital Affiliations CMS Care Compare 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

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 28573 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

47.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.48
Promoting Interoperability0
Improvement Activities40
Cost65.16

Referred Medical Equipment & Supplies CMS DME claims 13

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
8 suppliers36 claims68 services$5.53 avg. paid by Medicare
Ostomy skin barrier, non-pectin based, paste, per ounce A4405
DME-Orthotic Devices · category DF010N
2 suppliers12 claims60 services$3.02 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers12 claims120 services$4.35 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers12 claims120 services$2.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$94.35 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims28 services$35.94 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 18

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

EVAN RYAN RESTELLI D.O.
Internal Medicine (Pulmonary Disease)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010
KELSEY JEANINE BARR MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010
JONATHAN RIVERA DIAZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010
MR. STANLEY ROBERT STEVENS JR. NP-C
Nurse Practitioner (Family)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010
DR. JOHN BRIAN JASPER II M.D.
Internal Medicine
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010
DANA MEADOWS BENDER
Physician Assistant
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010
DR. COLLEEN MARIE STACK MD
Psychiatry & Neurology (Neurology)
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010
CAROLINAEAST PHYSICIANS
Internal Medicine
137 MEDICAL LN
POLLOCKSVILLE, NC 28573
Jones County (252) 633-1010

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 Russell Wilford's NPI number?

The NPI number for Russell Wilford is 1114213162. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Russell Wilford located?

Russell Wilford practices at 137 Medical Ln, Pollocksville, NC 28573. The listed phone number is (252) 633-1010.

What is Russell Wilford's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Russell Wilford enrolled in Medicare?

Yes. Russell Wilford 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 organizations bill Medicare for Russell Wilford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Wilford reassigns Medicare benefits to 6 organizations: Carolinaeast Physicians (Pollocksville, NC), Vidant Medical Group LLC (Kinston, NC), Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC), North Carolina Mg, LLC (Raleigh, NC), Sound Physicians Of North Carolina, PLLC (Elizabeth City, NC) and 1 more organization, listed in the Medicare section above. Each 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 Russell Wilford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Russell Wilford accept?

Health plans from Blue Cross and Blue Shield of NC list Russell Wilford 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 Russell Wilford affiliated with any hospitals?

According to CMS data, Russell Wilford is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Russell Wilford was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.