LARRY H ELKINS M.D.
NPI 1154415628
Family Medicine in Newland, NC

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
448 CRANBERRY ST, NEWLAND, NC 28657(828) 737-0221(828) 737-0321 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Feb 27, 2023, Jul 31, 2018 (3 updates tracked since 2018).

About Larry H Elkins M.d. NPPES

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

LARRY H ELKINS M.D. (NPI 1154415628) is an individual family medicine provider in Newland, North Carolina, licensed in North Carolina (2015-00088) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1154415628
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLARRY H ELKINSCredential: M.D.
Location Address448 CRANBERRY STNewland, NC 28657
Mailing AddressPo Box 1490Boone, NC 28607-1490 · (828) 262-3886
Fax(828) 737-0321
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1154415628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2015-00088
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2015-00088 (NC)
448 CRANBERRY ST, Newland, NC 28657

Other Names 1

Professional Name (2)Larry H Elkins Md

Secondary Practice Locations 5

Location 1301 E Meeting St Ste 101Morganton, NC 28655-3594 · Phone (828) 624-0300
Location 2560 Malcolm BlvdConnelly Springs, NC 28612-7918 · Phone (828) 874-2061
Location 3935 State Farm RdBoone, NC 28607-4948 · Phone (828) 262-3886
Location 4240 Highway 105 Ext Ste 100Boone, NC 28607-4291 · Phone (828) 264-7311
Location 5110 Dutchman CtElkin, NC 28621-2237 · Phone (336) 835-7337

Accepted 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

Larry H Elkins 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 ID648293902
PECOS Enrollment IDI20150420000820
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

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.

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.
33 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28657 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 8

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
4 suppliers13 claims29 services$5.68 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers55 claims55 services$18.57 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier16 claims16 services$911.24 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers29 claims29 services$5.99 avg. paid by Medicare
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 suppliers92 claims92 services$105.09 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers22 claims5,284 services$0.03 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 9

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

Clinic/Center (Federally Qualified Health Center (FQHC))
448 CRANBERRY ST
NEWLAND, NC 28657
Social Worker (Clinical)
448 CRANBERRY ST
NEWLAND, NC 28657
Nurse Practitioner (Family)
448 CRANBERRY ST
NEWLAND, NC 28657
Nurse Practitioner (Family)
448 CRANBERRY ST
NEWLAND, NC 28657
Nurse Practitioner
448 CRANBERRY ST
NEWLAND, NC 28657
Counselor (Mental Health)
448 CRANBERRY ST
NEWLAND, NC 28657
Marriage & Family Therapist
448 CRANBERRY ST
NEWLAND, NC 28657
Nurse Practitioner
448 CRANBERRY ST
NEWLAND, NC 28657

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 Larry Elkins's NPI number?

The NPI number for Larry Elkins is 1154415628. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Larry H Elkins MD.

Where is Larry Elkins located?

Larry Elkins practices at 448 Cranberry St, Newland, NC 28657. The listed phone number is (828) 737-0221.

What is Larry Elkins's specialty?

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

Is Larry Elkins enrolled in Medicare?

Yes. Larry Elkins 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 Larry Elkins accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Larry Elkins 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.

When was this NPI record last updated?

The NPPES record for Larry Elkins was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.