RAMESH RAJ MISHRA M.D.
NPI 1265840003
Internal Medicine in Tarboro, NC

Active since July 24, 2014PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
101 CLINIC DR, TARBORO, NC 27886(252) 824-1419 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Jan 20, 2021, Oct 20, 2020 and 1 more (4 updates tracked since 2017).

About Ramesh Raj Mishra M.d. NPPES

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

RAMESH RAJ MISHRA M.D. (NPI 1265840003) is an individual internal medicine provider in Tarboro, North Carolina, licensed in North Carolina (2017-01633) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Vidant Edgecombe Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265840003
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAMESH RAJ MISHRACredential: M.D.
Location Address101 CLINIC DRTarboro, NC 27886-1935
Mailing Address101 Clinic Dr, Tarboro, Nc 27886Tarboro, NC 27886 · (252) 823-8262
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 24, 2014
Last NPPES UpdateApril 23, 20244 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1265840003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2017-01633
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.
101 CLINIC DR, Tarboro, NC 27886

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 and accepts Medicare assignment

Ramesh Raj Mishra M.d. 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 ID2466722392
PECOS Enrollment IDI20170725003135
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 22

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.
464 services183 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
403 services169 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
227 services126 patients
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.
214 services122 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
197 services47 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
161 services118 patients

Hospital Affiliations CMS Care Compare

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

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27886 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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers27 claims53 services$5.97 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,800 services$1.43 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers50 claims50 services$187.69 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.

Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Urology
101 CLINIC DR
TARBORO, NC 27886
Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Surgery
101 CLINIC DR
TARBORO, NC 27886
Nurse Practitioner
101 CLINIC DR
TARBORO, NC 27886
Physician Assistant (Surgical)
101 CLINIC DR
TARBORO, NC 27886
Pediatrics
101 CLINIC DR
TARBORO, NC 27886
Pharmacist
101 CLINIC DR
TARBORO, NC 27886

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 Ramesh Mishra's NPI number?

The NPI number for Ramesh Mishra is 1265840003. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Ramesh Mishra located?

Ramesh Mishra practices at 101 Clinic Dr, Tarboro, NC 27886. The listed phone number is (252) 824-1419.

What is Ramesh Mishra's specialty?

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

Is Ramesh Mishra enrolled in Medicare?

Yes. Ramesh Mishra 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 Ramesh Mishra accept?

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

According to CMS data, Ramesh Mishra is affiliated with Vidant Edgecombe Hospital.

When was this NPI record last updated?

The NPPES record for Ramesh Mishra was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.