DR. JOSE GERARDO VERGARA M.D.
NPI 1194796920
Family Medicine in Elizabethtown, NC

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
300A E MCKAY ST, ELIZABETHTOWN, NC 28337(910) 862-5500(910) 862-5501 Get Directions Write a Review

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

Record update history: Apr 17, 2026, Mar 3, 2026 (2 updates tracked since 2026).

About Dr. Jose Gerardo Vergara M.d. NPPES

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

DR. JOSE GERARDO VERGARA M.D. (NPI 1194796920) is an individual family medicine provider in Elizabethtown, North Carolina, licensed in North Carolina (2017-02435) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley-bladen County Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1194796920
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE GERARDO VERGARACredential: M.D.
Location Address300A E MCKAY STElizabethtown, NC 28337-9037
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6949
Fax(910) 862-5501
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 30, 2006
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1194796920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2017-02435
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 MD19527 (ME)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License A55692 (CA)
300A E MCKAY ST, Elizabethtown, NC 28337

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

Dr. Jose Gerardo Vergara 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 ID3476708942
PECOS Enrollment IDI20130307000146, I20180119000367
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.

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley-Bladen County Hospital

Critical Access Hospitals · Elizabethtown, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341315
Location501 South Poplar StreetElizabethtown, NC 28337 · Bladen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28337 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

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

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
2 suppliers19 claims19 services$118.61 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 15

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

Family Medicine
300A E MCKAY ST
ELIZABETHTOWN, NC 28337
Surgery
300A E MCKAY ST
ELIZABETHTOWN, NC 28337
Clinic/Center (Critical Access Hospital)
300A E MCKAY ST
ELIZABETHTOWN, NC 28337
Clinic/Center (Rural Health)
300A E MCKAY ST
ELIZABETHTOWN, NC 28337
Nurse Practitioner (Adult Health)
300A E MCKAY ST
ELIZABETHTOWN, NC 28337
Nurse Practitioner (Family)
300A E MCKAY ST
ELIZABETHTOWN, NC 28337
Nurse Practitioner (Family)
300A E MCKAY ST
ELIZABETHTOWN, NC 28337
Surgery
300A E MCKAY ST
ELIZABETHTOWN, NC 28337

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 Jose Vergara's NPI number?

The NPI number for Jose Vergara is 1194796920. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Jose Vergara located?

Jose Vergara practices at 300A E Mckay St, Elizabethtown, NC 28337. The listed phone number is (910) 862-5500.

What is Jose Vergara's specialty?

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

Is Jose Vergara enrolled in Medicare?

Yes. Jose Vergara 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 Jose Vergara accept?

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

According to CMS data, Jose Vergara is affiliated with Cape Fear Valley-Bladen County Hospital.

When was this NPI record last updated?

The NPPES record for Jose Vergara was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.