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DR. JAMES WILLIAM APGAR D.D.S.
NPI 1164408480
Dentist - General Practice in Thomasville, NC

Active since December 19, 2005PECOS Enrolled
1235 DCCC RD, THOMASVILLE, NC 27360(336) 236-0165(336) 323-6102 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James William Apgar D.d.s. NPPES

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

DR. JAMES WILLIAM APGAR D.D.S. (NPI 1164408480) is an individual general practice provider in Thomasville, North Carolina, licensed in North Carolina (6752) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Statesville.

NPPES Registry Identity

NPI1164408480
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES WILLIAM APGARCredential: D.D.S.
Location Address1235 DCCC RDThomasville, NC 27360-9544
Mailing Address1235 Dccc RdThomasville, NC 27360-9544 · (336) 236-0165 · Fax (336) 236-1021
Phone(336) 236-0165
Fax(336) 323-6102
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateMarch 28, 2020
NPPES CertifiedMarch 28, 2020
✔ NPI 1164408480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 6752
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1235 DCCC RD, Thomasville, NC 27360
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Secondary Practice Location 1

Location 11624 Davie AveStatesville, NC 28677-3520 · Phone (704) 872-3888 · Fax (704) 871-1553

Other Identifiers 2

Other6752NC · Dental License Number
Medicaid899006YNC

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 (PECOS)

Dr. James William Apgar D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show James Apgar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Carolina University
Same address
Dentist
1235 DCCC ROAD
Thomasville, NC 27360
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1629472568 (252) 737-7400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27360 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 James Apgar's NPI number?

The NPI number for James Apgar is 1164408480. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is James Apgar located?

James Apgar practices at 1235 Dccc Rd, Thomasville, NC 27360. The listed phone number is (336) 236-0165.

What is James Apgar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Apgar enrolled in Medicare?

Yes. James Apgar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Apgar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Apgar reassigns Medicare benefits to East Carolina University (Thomasville, NC). The 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 James Apgar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Apgar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 8 other insurers list James Apgar 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 James Apgar was last updated on March 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.