MEGAN ABIGAIL ARBOLEDA MD
NPI 1225484553
Family Medicine in Elkin, NC
About Megan Abigail Arboleda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEGAN ABIGAIL ARBOLEDA MD (NPI 1225484553) is an individual family medicine provider in Elkin, North Carolina, licensed in Tennessee (63917) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains a secondary practice location in Elkin.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted 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
Megan Abigail Arboleda 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.
Medicare Billing Reassignment
Medicare enrollment records show Megan Arboleda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elkin, NC 28621
- Reassigned Medicare billing, North Carolina enrollment
- 90 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCWilkes Regional Medical Center
Acute Care Hospitals · North Wilkesboro, NCHugh Chatham Memorial Hospital
Acute Care Hospitals · Elkin, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKIN, NC 28621
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 Megan Arboleda's NPI number?
The NPI number for Megan Arboleda is 1225484553. It was assigned to this individual provider in the NPPES registry on May 5, 2016. The provider is also known as Megan Smith MD.
Where is Megan Arboleda located?
Megan Arboleda practices at 680 Parkwood Medical Park, Elkin, NC 28621. The listed phone number is (336) 527-8359.
What is Megan Arboleda's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Megan Arboleda enrolled in Medicare?
Yes. Megan Arboleda 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 Megan Arboleda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Megan Arboleda reassigns Medicare benefits to Hugh Chatham Memorial Hospital (Elkin, 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 Megan Arboleda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Megan Arboleda accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 4 other insurers list Megan Arboleda 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 Megan Arboleda affiliated with any hospitals?
According to CMS data, Megan Arboleda is affiliated with North Carolina Baptist Hospital, Wilkes Regional Medical Center and Hugh Chatham Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Megan Arboleda was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Megan Abigail Arboleda, MD · NPI 1225484553
Family Medicine physician in Elkin, North Carolina. Individual provider, active in the CMS NPPES registry since May 5, 2016.
## Identity
- **NPI:** 1225484553 (Entity type: Individual)
- **Enumerated:** May 5, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 63917 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 680 PARKWOOD MEDICAL PARK, Elkin, NC 28621-2487
- **Phone:** (336) 527-8359
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hugh Chatham Memorial Hospital (NPI 1740692656, Elkin, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225484553) · Data from the CMS NPPES public registry.