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DR. MARIA CRISTINA SEGOVIA M.D.
NPI 1194734947
Internal Medicine - Gastroenterology in Durham, NC

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 681-4767(919) 669-1613 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Aug 11, 2016 (2 updates tracked since 2016).

About Dr. Maria Cristina Segovia M.d. NPPES

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

DR. MARIA CRISTINA SEGOVIA M.D. (NPI 1194734947) is an individual gastroenterology provider in Durham, North Carolina, licensed in North Carolina (2016-01737) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1194734947
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARIA CRISTINA SEGOVIACredential: M.D.
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-2608
Mailing Address40 Duke Medicine Circle Duke GastroenterologyDurham, NC 27710-0001 · (919) 684-6437 · Fax (919) 681-8147
Phone(919) 681-4767
Fax(919) 669-1613
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 7, 2006
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1194734947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 2016-01737
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301081698 (MI)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 2016-01737 (NC)
40 DUKE MEDICINE CIR, Durham, NC 27710
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Secondary Practice Location 1

Location 12799 W Grand Blvd, Department of Internal MedicineDetroit, MI 48202-2608 · Phone (313) 916-8632

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

Dr. Maria Cristina Segovia 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 ID941206098
PECOS Enrollment IDI20160914001365
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
171 services44 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.
132 services100 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.
55 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services36 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.
38 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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 5

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier36 claims20,820 services$1.18 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers67 claims6,855 services$0.32 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers40 claims3,540 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers77 claims77 services$18.70 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
8 suppliers84 claims84 services$12.19 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.

MARY E KLOTMAN MD
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
JONATHAN PAUL PICCINI SR. M.D., M.H.S.
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
AMY TENDLER PA
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-5057
DR. LINDSAY KING M.D.
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-7685
MICHAEL TCHEUPDJIAN FORRESTER MD, PHD
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-1300
MRS. MEGHAN AMY WARD M.S. CCC-SLP
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Durham County (919) 684-3451
RAGHUBINDER S GILL M.D.
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Durham County (919) 684-2661
ETHAN YICHEN SONG
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-7139

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 Maria Segovia's NPI number?

The NPI number for Maria Segovia is 1194734947. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Maria Segovia located?

Maria Segovia practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 681-4767.

What is Maria Segovia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Maria Segovia enrolled in Medicare?

Yes. Maria Segovia 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 Maria Segovia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Maria Segovia 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 Maria Segovia affiliated with any hospitals?

According to CMS data, Maria Segovia is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Maria Segovia was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.