1. Home
  2. Directory
  3. North Carolina
  4. Lumberton
  5. Internal Medicine
  6. NPI Profile

THUY LE
NPI 1255869970
Internal Medicine - Nephrology in Lumberton, NC

Active since May 25, 2017PECOS Enrolled
55.3/100
CMS Quality Rating
395 W 27TH ST, LUMBERTON, NC 28358(910) 739-7551(910) 739-2332 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Aug 5, 2022, May 25, 2017 (3 updates tracked since 2017).

About Thuy Le NPPES

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

THUY LE (NPI 1255869970) is an individual nephrology provider in Lumberton, North Carolina, licensed in Georgia (92541) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2017).

NPPES Registry Identity

NPI1255869970
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameTHUY LE
Location Address395 W 27TH STLumberton, NC 28358-3018
Mailing Address157 Clinic Ave, Ste 203Carrollton, GA 30117-4454 · (770) 832-0429
Phone(910) 739-7551
Fax(910) 739-2332
Sole ProprietorNo
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateDecember 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1255869970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 92541
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
395 W 27TH ST, Lumberton, NC 28358
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 Health, Ambetter of Alabama 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 (PECOS)

Thuy Le is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022491737
PECOS Enrollment IDI20220812001908
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 11

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.
170 services74 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
87 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 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.
69 services32 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.
58 services28 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
25 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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
$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.

55.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.15
Improvement Activities0
Cost65.28

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.

PRADEEP GHIMIRE MD
General Practice
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHRISTOPHER FINK DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHARLES R. BEASLEY M.D.
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
ZACHARY CARRIKER MD
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
JOHNNY LEE DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
DR. BRITTANY NOELANI SUDDRETH DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
BARAA S A BARAAWI MD
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
PAUL SIERSZULSKI DO
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7557

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 Thuy Le's NPI number?

The NPI number for Thuy Le is 1255869970. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Thuy Le located?

Thuy Le practices at 395 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 739-7551.

What is Thuy Le's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thuy Le enrolled in Medicare?

Yes. Thuy Le is registered in the Medicare PECOS enrollment system.

What insurance does Thuy Le accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thuy Le 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 Thuy Le affiliated with any hospitals?

According to CMS data, Thuy Le is affiliated with Piedmont Henry Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Thuy Le was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.