JOHN B CHIAVETTA MD
NPI 1265435044
Orthopaedic Surgery in Raleigh, NC

Active since May 24, 2005PECOS Enrolled
72.94/100
CMS Quality Rating
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612(919) 781-5600(919) 863-6821 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2021, Mar 29, 2021, Jan 5, 2021 and 3 more (6 updates tracked since 2016).

About John B Chiavetta Md NPPES

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

JOHN B CHIAVETTA MD (NPI 1265435044) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (200400311) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Garner.

NPPES Registry Identity

NPI1265435044
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN B CHIAVETTACredential: MD
Location Address3001 EDWARDS MILL RD STE 200Raleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd Ste 200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821
Fax(919) 863-6821
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1999
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 17, 20256 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1265435044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 200400311
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 200400311 (NC)
3001 EDWARDS MILL RD STE 200, Raleigh, NC 27612

Secondary Practice Location 1

Location 11325 Timber Dr EGarner, NC 27529-6924 · Phone (919) 781-5600 · Fax (919) 863-6821

Accepted 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)

John B Chiavetta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749264745
PECOS Enrollment IDI20040616001352
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,768 services230 patients
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
1,488 services21 patients
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.
708 services480 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
628 services436 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
409 services252 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.
363 services314 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$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.

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.

72.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.04
Promoting Interoperability98
Improvement Activities40
Cost29.43

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%28 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%2,417 patients4/55-star benchmark: 100%
e-Prescribing
97%817 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%1,572 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,242 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,403 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 2,242 patients
Patients screened: 80% · 2,242 patients
91%74 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%2,250 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%124 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,634 patients
Patients totalRate: 0% · 1,634 patients
0%1,634 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
1 supplier33 claims34 services$740.25 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.

Physical Therapist
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Occupational Therapist
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612

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 John Chiavetta's NPI number?

The NPI number for John Chiavetta is 1265435044. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is John Chiavetta located?

John Chiavetta practices at 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is John Chiavetta's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Chiavetta enrolled in Medicare?

Yes. John Chiavetta is registered in the Medicare PECOS enrollment system.

What insurance does John Chiavetta accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list John Chiavetta 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 John Chiavetta affiliated with any hospitals?

According to CMS data, John Chiavetta is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for John Chiavetta was last updated on October 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.