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ROBERT NIELAND DO
NPI 1245724079
Family Medicine in Hendersonville, NC

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
800 N JUSTICE ST, HENDERSONVILLE, NC 28791(828) 696-1095 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2023, Nov 3, 2021, Jun 15, 2018 (3 updates tracked since 2018).

About Robert Nieland Do NPPES

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

ROBERT NIELAND DO (NPI 1245724079) is an individual family medicine provider in Hendersonville, North Carolina, licensed in North Carolina (202400016) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Rocky Vista University College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1245724079
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT NIELANDCredential: DO
Location Address800 N JUSTICE STHendersonville, NC 28791-3518
Mailing Address800 N Justice StHendersonville, NC 28791-3410
Phone(828) 696-1095
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateFebruary 14, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1245724079 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 · 202400016
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.

800 N JUSTICE ST, Hendersonville, NC 28791
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company.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

Robert Nieland Do 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 ID7416388921
PECOS Enrollment IDI20240226003407
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 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.

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.
137 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
72 services71 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.
37 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$17.55 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
3 suppliers20 claims20 services$91.91 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.

BARTLETT DAVID STEEN MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
ANNA QUINN HARRELSON MD
Family Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
MARTIN S. LEMYRE MD
Internal Medicine
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
JOHN M THERIOT CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
EDWARD ALAN LEWIS MD
Anesthesiology
800 N JUSTICE ST
HENDERSONVILLE, NC 28791
Henderson County (828) 694-4548
JEFFREY WAYNE YOUNGER CRNA
Nurse Anesthetist, Certified Registered
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000
PATHS OUTPATIENT SERVICES
Psychiatry & Neurology (Psychiatry)
800 N JUSTICE ST, BOX 38
HENDERSONVILLE, NC 28791
Henderson County (828) 696-4545
PIEDMONT HENDERSONVILLE ANESTHESIA CONSULTANTS PLLC
Anesthesiology
800 N JUSTICE ST, ANESTHESIA DEPT
HENDERSONVILLE, NC 28791
Henderson County (828) 696-1000

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 Robert Nieland's NPI number?

The NPI number for Robert Nieland is 1245724079. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Robert Nieland located?

Robert Nieland practices at 800 N Justice St, Hendersonville, NC 28791. The listed phone number is (828) 696-1095.

What is Robert Nieland's specialty?

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

Is Robert Nieland enrolled in Medicare?

Yes. Robert Nieland 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 Robert Nieland accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Robert Nieland 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 Robert Nieland affiliated with any hospitals?

According to CMS data, Robert Nieland is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Margaret R Pardee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Nieland was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.