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CAROL RAY YOUNG JR. MD
NPI 1124005897
Internal Medicine - Pulmonary Disease in Shallotte, NC

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
512 VILLAGE RD STE 101, SHALLOTTE, NC 28470(910) 721-4390(910) 721-4399 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2023, Oct 13, 2016, Aug 18, 2016 (3 updates tracked since 2016).

About Carol Ray Young Jr. Md NPPES

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

CAROL RAY YOUNG JR. MD (NPI 1124005897) is an individual pulmonary disease provider in Shallotte, North Carolina, licensed in North Carolina (9801123) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1124005897
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameCAROL RAY YOUNG JR.Credential: MD
Location Address512 VILLAGE RD STE 101Shallotte, NC 28470-3409
Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 721-4390 · Fax (910) 721-4399
Phone(910) 721-4390
Fax(910) 721-4399
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1124005897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NC · 9801123✔ Licensed in SC · 32308✔ Licensed in VA · 0101050316
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
512 VILLAGE RD STE 101, Shallotte, NC 28470
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Secondary Practice Location 1

Location 11655 Bernardin Ave, Suite 350Columbia, SC 29204-2039 · Phone (803) 253-7575 · Fax (803) 253-7571

Other Identifiers 4

MedicaidN01124SC
Medicaid891220NNC
OtherGP3912SC · Medicaid Group
OtherGP4306SC · Medicaid Group

Accepted Insurance

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

Carol Ray Young 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 ID5597725341
PECOS Enrollment IDI20230810002102
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.

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.
340 services258 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
123 services117 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
123 services117 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
119 services113 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.
108 services95 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services85 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28470 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 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers60 claims60 services$29.77 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers46 claims46 services$69.13 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers47 claims135 services$26.42 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers24 claims131 services$14.45 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers23 claims135 services$10.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers42 claims42 services$40.47 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 3

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

NICHOLAS KALLAY M.D.
Internal Medicine (Pulmonary Disease)
512 VILLAGE RD STE 101
SHALLOTTE, NC 28470
Brunswick County (910) 721-4390
MS. DOROTHY TRUAX P.A.
Physician Assistant
512 VILLAGE RD STE 101
SHALLOTTE, NC 28470
Brunswick County (910) 721-4390
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Internal Medicine (Pulmonary Disease)
512 VILLAGE RD STE 101
SHALLOTTE, NC 28470
Brunswick County (910) 721-4390

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 Carol Young's NPI number?

The NPI number for Carol Young is 1124005897. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Carol Young located?

Carol Young practices at 512 Village Rd Ste 101, Shallotte, NC 28470. The listed phone number is (910) 721-4390.

What is Carol Young's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Carol Young enrolled in Medicare?

Yes. Carol Young 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 Carol Young accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Carol Young 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 Carol Young affiliated with any hospitals?

According to CMS data, Carol Young is affiliated with Novant Health New Hanover Regional Medical Center and Novant Health Brunswick Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Young was last updated on July 20, 2023. 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.