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HARRY H LAY III RN, MSN, FNP-BC
NPI 1225177868
Nurse Practitioner - Family in Raleigh, NC

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
1520 SUNDAY DR, RALEIGH, NC 27607(919) 782-3456(919) 783-1441 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2021, Nov 12, 2019 (2 updates tracked since 2019).

About Harry H Lay Iii Rn, Msn, Fnp-bc NPPES

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

HARRY H LAY III RN, MSN, FNP-BC (NPI 1225177868) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (222354) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1225177868
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHARRY H LAY IIICredential: RN, MSN, FNP-BC
Location Address1520 SUNDAY DRRaleigh, NC 27607-5253
Mailing Address1520 Sunday DrRaleigh, NC 27607-5253 · (919) 782-3456
Phone(919) 782-3456
Fax(919) 783-1441
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 6, 2007
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1225177868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 222354✔ Licensed in GA · RN117112NP
1520 SUNDAY DR, Raleigh, NC 27607
Open in Google Maps ↗

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

Harry H Lay Iii Rn, Msn, Fnp-bc 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 ID9234203670
PECOS Enrollment IDI20080804000418
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 3

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.
307 services224 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.
119 services90 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.
57 services53 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.93
Promoting Interoperability100
Improvement Activities40
Cost93.42

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$36.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$86.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers14 claims42 services$35.60 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims84 services$2.22 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$49.07 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 supplier11 claims11 services$77.29 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.

MRS. TRACEY BOYKIN PHILLIPS FNP-C
Nurse Practitioner (Family)
1520 SUNDAY DR
RALEIGH, NC 27607
Wake County (919) 782-3456
BETSY JOY BENNETT MURPHY M.P.T.
Physical Therapist (Pediatrics)
1520 SUNDAY DR
RALEIGH, NC 27607
Wake County (919) 420-1682
MS. NAZALY ANN MILLER PT
Physical Therapist
1520 SUNDAY DR
RALEIGH, NC 27607
Wake County (919) 782-3456
DR. LESLIE H BOYCE MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1520 SUNDAY DR
RALEIGH, NC 27607
Wake County (919) 782-3456
GRETCHEN IRELAND REICHMANN FNP-BC
Nurse Practitioner
1520 SUNDAY DR
RALEIGH, NC 27607
Wake County (919) 782-3456
BRIAN LAWTON DPT
Physical Therapist
1520 SUNDAY DR, SUITE 105
RALEIGH, NC 27607
Wake County (919) 420-1682
DR. MELANIE LYNN TEW M.D.
Psychiatry & Neurology (Psychiatry)
1520 SUNDAY DR, SUITE 320
RALEIGH, NC 27607
Wake County (919) 798-5727
NATALIE CLAIRE JONES PA-C
Physician Assistant
1520 SUNDAY DR
RALEIGH, NC 27607
Wake County (919) 782-3456

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 Harry Lay's NPI number?

The NPI number for Harry Lay is 1225177868. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Harry Lay located?

Harry Lay practices at 1520 Sunday Dr, Raleigh, NC 27607. The listed phone number is (919) 782-3456.

What is Harry Lay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Harry Lay enrolled in Medicare?

Yes. Harry Lay 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 Harry Lay 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 Harry Lay 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 Harry Lay affiliated with any hospitals?

According to CMS data, Harry Lay is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Harry Lay was last updated on April 1, 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.