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DR. ALBERT CHAO MD
NPI 1225020068
Family Medicine in Fayetteville, NC

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
1248 FORT BRAGG RD STE 101, FAYETTEVILLE, NC 28305(910) 323-0334 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, May 16, 2025 (2 updates tracked since 2025).

About Dr. Albert Chao Md NPPES

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

DR. ALBERT CHAO MD (NPI 1225020068) is an individual family medicine provider in Fayetteville, North Carolina, licensed in North Carolina (9601573) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225020068
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALBERT CHAOCredential: MD
Location Address1248 FORT BRAGG RD STE 101Fayetteville, NC 28305-4982
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6448 · Fax (910) 615-5070
Phone(910) 323-0334
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1990
Enumeration DateAugust 18, 2005
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1225020068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9601573
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.
1248 FORT BRAGG RD STE 101, Fayetteville, NC 28305
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1300 Medical Pavilion Dr Ste 150Raeford, NC 28376-0030 · Phone (910) 904-8025
Location 25523 Waldos Beach Rd Ste 101Fayetteville, NC 28306-5505 · Phone (910) 615-3120
Location 34092 Professional DrHope Mills, NC 28348-2366 · Phone (910) 615-3120 · Fax (910) 423-6050

Other Identifiers 1

Medicaid891007JNC

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 and accepts Medicare assignment

Dr. Albert Chao Md 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 ID5698801413
PECOS Enrollment IDI20100331000915
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 Reassignments

3

Medicare enrollment records show Albert Chao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cape Fear Valley Health Medical Group LLC
Same address
Family Medicine
1248 FORT BRAGG RD STE 101
Fayetteville, NC 28305
  • Reassigned Medicare billing, North Carolina enrollment
  • 411 clinicians in this Medicare group
NPI 1174331631 (910) 323-0334
Cumberland County Hospital System Inc
Same address
Family Medicine
1248 FORT BRAGG RD STE 101
Fayetteville, NC 28305
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1245999648 (910) 323-0334
Hoke Healthcare, LLC
12 mi
Urgent Care
300 MEDICAL PAVILION DR, SUITE 150
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 64 clinicians in this Medicare group
NPI 1730439654 (910) 904-8020

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

Areas of Expertise CMS Part B claims 6

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 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.
590 services216 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
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.
50 services38 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.
41 services31 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
31 services31 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28305 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 4

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
10 suppliers30 claims86 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims18 services$1.02 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 supplier21 claims21 services$84.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$34.05 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 2

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

CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Family Medicine
1248 FORT BRAGG RD STE 101
FAYETTEVILLE, NC 28305
Cumberland County (910) 323-0334
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Family Medicine
1248 FORT BRAGG RD STE 101
FAYETTEVILLE, NC 28305
Cumberland County (910) 323-0334

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 Albert Chao's NPI number?

The NPI number for Albert Chao is 1225020068. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Albert Chao located?

Albert Chao practices at 1248 Fort Bragg Rd Ste 101, Fayetteville, NC 28305. The listed phone number is (910) 323-0334.

What is Albert Chao's specialty?

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

Is Albert Chao enrolled in Medicare?

Yes. Albert Chao 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.

Which organizations bill Medicare for Albert Chao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Chao reassigns Medicare benefits to 3 organizations: Cape Fear Valley Health Medical Group LLC (Fayetteville, NC), Cumberland County Hospital System Inc (Fayetteville, NC) and Hoke Healthcare, LLC (Raeford, NC). Each 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 Albert Chao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Albert Chao accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Albert Chao 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 Albert Chao affiliated with any hospitals?

According to CMS data, Albert Chao is affiliated with Cape Fear Valley Medical Center and Cape Fear Valley Hoke Hospital.

When was this NPI record last updated?

The NPPES record for Albert Chao was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.