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MICHAEL DAVID PERTTUNEN MD
NPI 1235768193
Urology in Lexington, NC

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
106 W MEDICAL PARK DR STE A, LEXINGTON, NC 27292(336) 248-4413(336) 248-6260 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael David Perttunen Md NPPES

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

MICHAEL DAVID PERTTUNEN MD (NPI 1235768193) is an individual urology provider in Lexington, North Carolina, licensed in North Carolina (2025-02425) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235768193
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL DAVID PERTTUNENCredential: MD
Location Address106 W MEDICAL PARK DR STE ALexington, NC 27292-6854
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 248-4413 · Fax (336) 248-6260
Phone(336) 248-4413
Fax(336) 248-6260
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1235768193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NC · 2025-02425
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
106 W MEDICAL PARK DR STE A, Lexington, NC 27292
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14301 W Markham St # 540Little Rock, AR 72205-7101 · Phone (501) 686-5241
Location 21 Childrens Way # 540Little Rock, AR 72202-3500 · Phone (501) 686-5241

Accepted Insurance

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

Michael David Perttunen 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 ID446672562
PECOS Enrollment IDI20250807003933
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

2

Medicare enrollment records show Michael Perttunen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Urology
106 W MEDICAL PARK DR STE A
Lexington, NC 27292
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1285356758 (336) 248-4413
Piedmont Stone Center PLLC
19 mi
Lithotripsy
1907 SOUTH HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1700827409 (336) 765-6373

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

Hospital Affiliations CMS Care Compare 3

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340096
Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27292 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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.

NOVANT HEALTH MEDICAL GROUP, LLC
Urology
106 W MEDICAL PARK DR STE A
LEXINGTON, NC 27292
Davidson County (336) 248-4413
MRS. LINDSEY TREACY EVANOFF PA-C
Physician Assistant
106 W MEDICAL PARK DR STE A
LEXINGTON, NC 27292
Davidson County (336) 248-4413
BRIDGETT TIERNEY CHANDLER PA-C
Student in an Organized Health Care Education/Training Program
106 W MEDICAL PARK DR STE A
LEXINGTON, NC 27292
Davidson County (336) 248-4413
HARLEY NICOLE PALMER FNP
Nurse Practitioner
106 W MEDICAL PARK DR STE A
LEXINGTON, NC 27292
Davidson County (336) 248-4413
ALEXANDRE W. CAILLAT MD
Urology
106 W MEDICAL PARK DR STE A
LEXINGTON, NC 27292
Davidson County (336) 248-4413

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 Michael Perttunen's NPI number?

The NPI number for Michael Perttunen is 1235768193. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Michael Perttunen located?

Michael Perttunen practices at 106 W Medical Park Dr Ste A, Lexington, NC 27292. The listed phone number is (336) 248-4413.

What is Michael Perttunen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Perttunen enrolled in Medicare?

Yes. Michael Perttunen 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 Michael Perttunen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Perttunen reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Lexington, NC) and Piedmont Stone Center PLLC (Winston-salem, 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 Michael Perttunen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Perttunen accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Michael Perttunen 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 Michael Perttunen affiliated with any hospitals?

According to CMS data, Michael Perttunen is affiliated with Novant Health Forsyth Medical Center, Novant Health Thomasville Medical Center and Lexington Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Michael Perttunen was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.