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DR. CORDELIA R STEARNS M.D., AAHIVS
NPI 1265721872
Internal Medicine in Boone, NC

Active since April 04, 2011PECOS EnrolledAccepts Medicare Assignment
935 STATE FARM RD, BOONE, NC 28607(828) 262-3886 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2023, Aug 16, 2018, Jul 25, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Cordelia R Stearns M.d., Aahivs NPPES

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

DR. CORDELIA R STEARNS M.D., AAHIVS (NPI 1265721872) is an individual internal medicine provider in Boone, North Carolina, licensed in North Carolina (2022-01879) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1265721872
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CORDELIA R STEARNSCredential: M.D., AAHIVS
Location Address935 STATE FARM RDBoone, NC 28607-4948
Mailing AddressPo Box 1490Boone, NC 28607-1490
Phone(828) 262-3886
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2011
Enumeration DateApril 4, 2011
Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1265721872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2022-01879✔ Licensed in AL · 35998✔ Licensed in CA · A124346
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A124346 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
935 STATE FARM RD, Boone, NC 28607
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11925 N Bridge St Ste 101Elkin, NC 28621-2105 · Phone (336) 835-7337
Location 2560 Malcolm BlvdConnelly Springs, NC 28612-7918 · Phone (828) 874-2061
Location 3301 E Meeting St Ste 101Morganton, NC 28655-3594 · Phone (828) 608-0800
Location 4448 Cranberry StNewland, NC 28657-8800 · Phone (828) 737-0221
Location 5240 Highway 105 Ext Ste 100Boone, NC 28607-4291 · Phone (828) 264-7311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. Cordelia R Stearns M.d., Aahivs 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 ID8325262512
PECOS Enrollment IDI20170811002495, I20220823000398
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 Cordelia Stearns reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

High Country Community Health
Same address
Federally Qualified Health Center (FQHC)
935 STATE FARM RD
Boone, NC 28607
NPI 1750646741 (828) 262-3886
Appalachian Regional Medical Associates, Inc.
0.4 mi
Family Medicine
336 DEERFIELD ROAD
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1669533923 (828) 262-4100

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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341325
Location200 Hospital AveJefferson, NC 28640 · Ashe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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.

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.

DR. MELISSA G COLLIER MD, MPH, FAAP
Pediatrics
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 262-3886
ELISE JOHN PHARMD, CPP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 262-3886
CASSANDRA HILL
Pharmacist
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 262-3886
ROSALIE STEWART LCMHC
Counselor (Professional)
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 262-3886
ALYSIA ANN HOOVER-THOMPSON PSYD, CP
Psychologist
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 262-3886
DR. JAMES LAWRENCE HAMBY M.D.
Urology
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 264-5150
DR. TAYLOR QUATTLEBAUM MD
Psychiatry & Neurology (Psychiatry)
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 262-3886
ENGLISH KINKEAD FLAHERTY MMS, PA-C
Physician Assistant
935 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 262-3886

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 Cordelia Stearns's NPI number?

The NPI number for Cordelia Stearns is 1265721872. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Cordelia Stearns located?

Cordelia Stearns practices at 935 State Farm Rd, Boone, NC 28607. The listed phone number is (828) 262-3886.

What is Cordelia Stearns's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cordelia Stearns enrolled in Medicare?

Yes. Cordelia Stearns 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 Cordelia Stearns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cordelia Stearns reassigns Medicare benefits to 2 organizations: High Country Community Health (Boone, NC) and Appalachian Regional Medical Associates, Inc. (Boone, 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 Cordelia Stearns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cordelia Stearns accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Cordelia Stearns 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 Cordelia Stearns affiliated with any hospitals?

According to CMS data, Cordelia Stearns is affiliated with Watauga Medical Center, Charles A Cannon Jr Memorial Hospital and Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cordelia Stearns was last updated on February 27, 2023. 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.