WILLIAM P LORIO MD
NPI 1194719591
Internal Medicine in New Bern, NC

Active since August 31, 2005PECOS Enrolled
47.59/100
CMS Quality Rating
2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562(252) 638-4023(252) 633-2833 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William P Lorio Md NPPES

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

WILLIAM P LORIO MD (NPI 1194719591) is an individual internal medicine provider in New Bern, North Carolina, licensed in North Carolina (9401439) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194719591
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWILLIAM P LORIOCredential: MD
Location Address2604 DR MARTIN LUTHER KING JR BLVDNew Bern, NC 28562-4238
Mailing AddressPo Box 896206Charlotte, NC 28289-6206 · (252) 638-4023 · Fax (252) 633-2833
Fax(252) 633-2833
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateMarch 17, 2017
NPI 1194719591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 9401439
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.
2604 DR MARTIN LUTHER KING JR BLVD, New Bern, NC 28562

Other Identifiers 5

Other2215639ENC · Medicare Ptan
Medicare UPING09187
Medicaid8952919NC
Medicare PIN110244630NC
Other52919NC · Blue Cross

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 (PECOS)

William P Lorio Md 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.

Areas of Expertise CMS Part B claims 31

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 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.
392 services200 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
319 services253 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
300 services252 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
286 services242 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.
242 services215 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
199 services190 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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.

47.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.48
Promoting Interoperability0
Improvement Activities40
Cost65.16

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
13 suppliers72 claims138 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers30 claims41 services$0.95 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims52 services$2.11 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$56.40 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
1 supplier12 claims12 services$81.77 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.34 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.

Internal Medicine
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Family Medicine
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Nurse Practitioner (Family)
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Internal Medicine (Gastroenterology)
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Nurse Practitioner
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Internal Medicine
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Physician Assistant
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Family Medicine
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562

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 William Lorio's NPI number?

The NPI number for William Lorio is 1194719591. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is William Lorio located?

William Lorio practices at 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562. The listed phone number is (252) 638-4023.

What is William Lorio's specialty?

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

Is William Lorio enrolled in Medicare?

Yes. William Lorio is registered in the Medicare PECOS enrollment system.

What insurance does William Lorio accept?

Health plans from Blue Cross and Blue Shield of NC list William Lorio 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 William Lorio was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.