DR. JON DUBOSE MD
NPI 1114920162
Internal Medicine in Tarboro, NC

Q: What is Jon Dubose's NPI number?

The NPI number for Jon Dubose is 1114920162. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Jon Dubose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Dubose was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 23, 2005PECOS EnrolledAccepts Medicare Assignment

111 HOSPITAL DR, TARBORO, NC 27886(252) 641-7700(252) 641-7313 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2022, Oct 7, 2021 (2 updates tracked since 2021).

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About Dr. Jon Dubose Md NPPES

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

DR. JON DUBOSE MD (NPI 1114920162) is an individual internal medicine provider in Tarboro, North Carolina, licensed in North Carolina (200101440) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1114920162

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JON DUBOSECredential: MD

Location Address111 HOSPITAL DRTarboro, NC 27886-2011

Mailing Address111 Hospital DrTarboro, NC 27886-2011 · (252) 641-7700 · Fax (252) 641-7313

Phone(252) 641-7700

Fax(252) 641-7313

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1999

Enumeration DateMay 23, 2005

Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration

NPPES CertifiedOctober 12, 2022

✔ NPI 1114920162 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 · 200101440

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 ListedPediatricsTaxonomy 208000000X · License 200101440 (NC)

Also ListedHospitalistTaxonomy 208M00000X · License 87299 (SC)

111 HOSPITAL DR, Tarboro, NC 27886

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Secondary Practice Location 1

Location 1701 Grove Rd Fl 5Greenville, SC 29605-4210 · Phone (864) 455-4411 · Fax (864) 455-4480

Other Identifiers 2

Medicaid891330UNC

MedicaidPENDINGSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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. Jon Dubose 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 ID5395769236

PECOS Enrollment IDI20220720001015

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 10

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

296 services139 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

130 services125 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

123 services70 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

122 services111 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

76 services73 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

58 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Carolina Pines Regional Medical Center

Acute Care Hospitals · Hartsville, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420010

Location1304 W Bobo Newsom HwyHartsville, SC 29550 · Darlington County

Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number420091

Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27886 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.

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.

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

4 suppliers17 claims17 services$90.26 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$34.10 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.

SYED SAMI HAIDER MD

Internal Medicine

111 HOSPITAL DR
TARBORO, NC 27886

Edgecombe County (252) 641-7700

DR. MARIYA ZYABLITSKAYA MD

Internal Medicine

111 HOSPITAL DR
TARBORO, NC 27886

Edgecombe County (252) 847-5652

EMMA BLOUNT PT, DPT

Physical Therapist

111 HOSPITAL DR
TARBORO, NC 27886

Edgecombe County (252) 641-7700

THOMAS J PALUCH CRNA

Nurse Anesthetist, Certified Registered

111 HOSPITAL DR
TARBORO, NC 27886

Edgecombe County (252) 641-7170

RACHEL HOPE DODSON PERRY PT, DPT

Physical Therapist

111 HOSPITAL DR
TARBORO, NC 27886

Edgecombe County (252) 641-7385

MRS. ROXANNE WYNNE GODLEY MS, RD, LDN

Dietitian, Registered

111 HOSPITAL DR
TARBORO, NC 27886

Edgecombe County (252) 641-8286

DR. LEONARDO LEOPANDO VILLAROSA

Physical Medicine & Rehabilitation

111 HOSPITAL DR, ECU PHYSICIANS PHYSICAL MEDICINE & REHABILITATION
TARBORO, NC 27886

Edgecombe County (252) 641-7375

COURTNEY WILLOUGHBY

Physical Therapist

111 HOSPITAL DR
TARBORO, NC 27886

Edgecombe County (252) 641-7700

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 Jon Dubose's NPI number?

The NPI number for Jon Dubose is 1114920162. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Jon Dubose located?

Jon Dubose practices at 111 Hospital Dr, Tarboro, NC 27886. The listed phone number is (252) 641-7700.

What is Jon Dubose's specialty?

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

Is Jon Dubose enrolled in Medicare?

Yes. Jon Dubose 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 Jon Dubose accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Jon Dubose 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 Jon Dubose affiliated with any hospitals?

According to CMS data, Jon Dubose is affiliated with Carolina Pines Regional Medical Center, Mcleod Regional Medical Center-Pee Dee and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Jon Dubose was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.