DR. JOHN F. REDDING JR. MD NPI 1215978739

Family Medicine in Asheboro, NC

NPI 1215978739 Individual Male Years of Experience 29 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About JOHN REDDING

John Redding is a primary care provider established in Asheboro, North Carolina and his medical specialization is family medicine with more than 29 years of experience. He graduated from Wake Forest University School Of Medicine in 1993. The NPI number of John Redding is 1215978739 and was assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 9501388 (NC). The provider is registered as an individual and his NPI record was last updated 12 years ago.

A primary care provider (PCP) like Dr. John F. Redding Jr. Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

John Redding is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Redding is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Randolph Hospital.

NPI

1215978739

Provider NameDR. JOHN F. REDDING JR. MD
Provider Location Address550 WHITE OAK ST ASHEBORO, NC 27203
Provider Mailing Address550 WHITE OAK ST ASHEBORO, NC 27203
GenderMale
NPI Entity TypeIndividual
Medical School NameWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-08-2006
Last Update Date02-17-2010


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.9501388
License StateNC
Taxonomy DescriptionFamily 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.

Business Address

DR. JOHN F. REDDING JR. MD
550 WHITE OAK ST
ASHEBORO, NC
ZIP 27203
Phone: (336) 625-1360
Fax: (336) 625-1889

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Mailing Address

DR. JOHN F. REDDING JR. MD
550 WHITE OAK ST
ASHEBORO, NC
ZIP 27203
Phone: (336) 625-1360
Fax: (336) 625-1889



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4981692316
PECOS Enrollment IDI20040504001438
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 443Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 231Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 213Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 113Hemoglobin A1C level (HCPCS:83036)
  • 110Administration of influenza virus vaccine (HCPCS:G0008)
  • 107Administration of pneumococcal vaccine (HCPCS:G0009)
  • 106Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 54Urinalysis, manual test (HCPCS:81002)
  • 52Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 45Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 34Physician re-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 to affirm the initial im (HCPCS:G0179)
  • 23Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 16X-ray of chest, 2 views, front and side (HCPCS:71020)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Redding is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RANDOLPH HOSPITAL364 WHITE OAK STREET
ASHEBORO, NC 27204
(336) 625-5151Acute Care Hospitals340123

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2227739CMEDICARE ID-TYPE UNSPECIFIED (04)NC
C23075MEDICARE UPIN (02)
89-70737MEDICAID (05)NC
70737OTHER (01)
80928OTHER (01)

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093790107DR. JOHN D CAMERON M.D.
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1093762577WHITE OAK FAMILY PHYSICIANS, P.A.
Organization
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1528084860 JAMES B. KINLAW MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1205857182 JABER A. KHAN MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1831113778 ROBERT B SCOTT MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1043471329 LYNLEY S HOLT MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1154300713MR. EDWARD SAGUIER P.A.
Individual
Physician Assistant (Medical)550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1548559628DR. BRIAN WESLEY BURKHART MD, MPH
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1215375324DR. CHRISTOPHER MICHAEL STREET MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1659766541MR. RAYMOND RILEY PA-C
Individual
Physician Assistant550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1003010463 JENNIFER ELDER BURGART MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1568018091 MEREDITH T. MITCHELL FNP
Individual
Nurse Practitioner (Family)550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1619497682 SARAH TROUTMAN RHYNE NP
Individual
Nurse Practitioner (Family)550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.