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ROD M GONCALVES MD
NPI 1225052673
Surgery in Lenoir, NC

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
401 MULBERRY ST SW STE 202, LENOIR, NC 28645(828) 757-6146(828) 757-5944 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2021, Feb 13, 2019 (2 updates tracked since 2019).

About Rod M Goncalves Md NPPES

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

ROD M GONCALVES MD (NPI 1225052673) is an individual surgery provider in Lenoir, North Carolina, licensed in North Carolina (NC2011-01543) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and maintains a secondary practice location in Rutherfordton.

NPPES Registry Identity

NPI1225052673
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROD M GONCALVESCredential: MD
Location Address401 MULBERRY ST SW STE 202Lenoir, NC 28645-5463
Mailing Address330 Nc Hwy 108Rutherfordton, NC 28139 · (828) 286-1743 · Fax (828) 287-3731
Phone(828) 757-6146
Fax(828) 757-5944
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1991
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1225052673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · NC2011-01543✔ Licensed in TN · 35448
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
401 MULBERRY ST SW STE 202, Lenoir, NC 28645
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Secondary Practice Location 1

Location 1330 NC HWY 108Rutherfordton, NC 28139 · Phone (828) 286-1743 · Fax (828) 287-3731

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Rod M Goncalves 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 ID4183513765
PECOS Enrollment IDI20120810000855
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 Reassignment

Medicare enrollment records show Rod Goncalves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caldwell Memorial Hospital, Inc.
Same address
Surgery
401 MULBERRY ST SW, SUITE 202
Lenoir, NC 28645
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1376983171 (828) 757-6146

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 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.

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.
101 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services15 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.
25 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28645 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 3

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

Ostomy skin barrier, non-pectin based, paste, per ounce A4405
DME-Orthotic Devices · category DF010N
1 supplier11 claims33 services$3.00 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.69 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers13 claims260 services$3.19 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 4

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

DR. KEITH THOMAS SHARPTON M.D.
Surgery
401 MULBERRY ST SW STE 202
LENOIR, NC 28645
Caldwell County (828) 757-6146
ADAM EZRA GOODE M.D.
Surgery
401 MULBERRY ST SW STE 202
LENOIR, NC 28645
Caldwell County (828) 757-6146
DR. KENT RUSSELL EDWARDS JR.
Urology
401 MULBERRY ST SW STE 202
LENOIR, NC 28645
Caldwell County (828) 757-6464
MR. JEFFREY PAUL WILLIAMS FNP-C
Nurse Practitioner (Family)
401 MULBERRY ST SW STE 202
LENOIR, NC 28645
Caldwell County (828) 757-6146

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 Rod Goncalves's NPI number?

The NPI number for Rod Goncalves is 1225052673. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Rod Goncalves located?

Rod Goncalves practices at 401 Mulberry St SW Ste 202, Lenoir, NC 28645. The listed phone number is (828) 757-6146.

What is Rod Goncalves's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rod Goncalves enrolled in Medicare?

Yes. Rod Goncalves 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 organization bills Medicare for Rod Goncalves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rod Goncalves reassigns Medicare benefits to Caldwell Memorial Hospital, Inc. (Lenoir, NC). The 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 Rod Goncalves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rod Goncalves accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Rod Goncalves 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 Rod Goncalves affiliated with any hospitals?

According to CMS data, Rod Goncalves is affiliated with Caldwell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rod Goncalves was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.