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DR. JONATHAN NESTOR MD
NPI 1154318533
Internal Medicine in Laurinburg, NC

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
22.58/100
CMS Quality Rating
601 E LAUNCHWOOD DR, LAURINBURG, NC 28352(910) 276-7727(910) 277-7439 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jonathan Nestor Md NPPES

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

DR. JONATHAN NESTOR MD (NPI 1154318533) is an individual internal medicine provider in Laurinburg, North Carolina, licensed in North Carolina (32548) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and is a graduate of Wayne State University School Of Medicine (1983).

NPPES Registry Identity

NPI1154318533
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JONATHAN NESTORCredential: MD
Location Address601 E LAUNCHWOOD DRLaurinburg, NC 28352-5501
Mailing AddressPo Box 1889Laurinburg, NC 28353-1889 · (910) 276-7727 · Fax (910) 277-7439
Phone(910) 276-7727
Fax(910) 277-7439
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1983
Enumeration DateSeptember 30, 2005
Last NPPES UpdateDecember 27, 2013
✔ NPI 1154318533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 32548
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 ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 32548 (NC)
601 E LAUNCHWOOD DR, Laurinburg, NC 28352
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Other Identifiers 6

OtherB925040281SC · Medicaid
Medicare UPINB92504
Medicaid8962164NC
Medicaid13809SC
Medicare PIN204189B
Medicare PINNC5019ANC

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. Jonathan Nestor 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 ID3971401167
PECOS Enrollment IDI20041005000025, I20070608000509
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

2

Medicare enrollment records show Jonathan Nestor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jonathan Nestor, MD, PA
Same address
Internal Medicine
601 E LAUCHWOOD DR
Laurinburg, NC 28352
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
NPI 1659424588 (910) 276-7727
Scotland Regional Health Network
0.2 mi
Surgical Critical Care
500 LAUCHWOOD DR
Laurinburg, NC 28352
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1164726105 (910) 277-9164

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 3

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
246 services35 patients
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.
163 services99 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 services80 patients

Hospital Affiliations CMS Care Compare

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28352 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.

22.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost75.28

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%231 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,316 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
0%491 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%678 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
8%483 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 468 patients
100%468 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 491 patients
1%491 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$3.79 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,960 services$1.40 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers26 claims2,460 services$0.34 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers37 claims37 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jonathan Nestor's NPI number?

The NPI number for Jonathan Nestor is 1154318533. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Jonathan Nestor located?

Jonathan Nestor practices at 601 E Launchwood Dr, Laurinburg, NC 28352. The listed phone number is (910) 276-7727.

What is Jonathan Nestor's specialty?

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

Is Jonathan Nestor enrolled in Medicare?

Yes. Jonathan Nestor 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 Jonathan Nestor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Nestor reassigns Medicare benefits to 2 organizations: Jonathan Nestor, MD, PA (Laurinburg, NC) and Scotland Regional Health Network (Laurinburg, NC). 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 Jonathan Nestor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Nestor accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 2 other insurers list Jonathan Nestor 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 Jonathan Nestor affiliated with any hospitals?

According to CMS data, Jonathan Nestor is affiliated with Scotland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Nestor was last updated on December 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.