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PAUL ALISTAIRE LEDFORD
NPI 1295900959
Hospitalist in Matthews, NC

Active since April 24, 2008PECOS EnrolledAccepts Medicare Assignment
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105(704) 384-9740(704) 384-9565 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2023, Oct 25, 2020, Jun 14, 2020 (3 updates tracked since 2020).

About Paul Alistaire Ledford NPPES

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

PAUL ALISTAIRE LEDFORD (NPI 1295900959) is an individual hospitalist provider in Matthews, North Carolina, licensed in North Carolina (2011-01181) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Novant Health Matthews Medical Center, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1295900959
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePAUL ALISTAIRE LEDFORD
Location Address1500 MATTHEWS TOWNSHIP PKWYMatthews, NC 28105-4656
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-9740 · Fax (704) 384-9565
Phone(704) 384-9740
Fax(704) 384-9565
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2008
Enumeration DateApril 24, 2008
Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1295900959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2011-01181
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 148835 (NC)
1500 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105
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Secondary Practice Location 1

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0221 · Fax (704) 355-0770

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, First Choice Next.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

Paul Alistaire Ledford 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 ID3375716061
PECOS Enrollment IDI20111025000192, I20171204002974
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

8

Medicare enrollment records show Paul Ledford reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Medical Group, Inc.
Same address
Maternal & Fetal Medicine
1450 MATTHEWS TOWNSHIP PKWY, SUITE 410
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1033566526 (704) 384-7680
Spartanburg Medical Center
52 mi
Cardiovascular Disease
104 PROFESSIONAL PARK STE B
Gaffney, SC 29340
  • Reassigned Medicare billing, South Carolina enrollment
  • 754 clinicians in this Medicare group
NPI 1316416688 (864) 489-3230
Mcleod Regional Medical Center Of The Pee Dee, Inc
84 mi
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
NPI 1154371433 (843) 777-2000
Cumberland County Hospital System Inc
85 mi
Rural Health
405 S MAIN ST
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1447255328 (910) 615-5800
Pelham Medical Center
87 mi
Internal Medicine
250 WESTMORELAND RD
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
  • 313 clinicians in this Medicare group
NPI 1245496983 (864) 560-6619
Cogent Healthcare Of North Carolina, PC
171 mi
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
NPI 1548207483 (828) 456-7311
Hospital Physician Services - Southeast Professional Corporation
196 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 511 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Cogent Healthcare Of Georgia PC
231 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, South Carolina enrollment
  • 268 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 5

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.

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.
280 services269 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
179 services174 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.
48 services27 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.
24 services15 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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.

MS. ANISHA APPHIA JONES MSN, MPH, FNP-C
Nurse Practitioner
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-6478
LEA MARIA HOLEVAS PA-C
Physician Assistant
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-9740
ZELALEM ATAKILT GEBREANANYA MD
Hospitalist
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-9740
DR. HENRY D CREMISI M.D.
Internal Medicine
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-5416
DR. KEVIN M. RUDISEL MD
Internal Medicine
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-5420
NOVANT HEALTH MATTHEWS MEDICAL CENTER LLC
General Acute Care Hospital
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-6500
DR. REENA KHETPAL
Hospitalist
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-9740
JENNIFER KRIBBS
Speech-Language Pathologist
1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Mecklenburg County (704) 384-6500

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 Paul Ledford's NPI number?

The NPI number for Paul Ledford is 1295900959. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Paul Ledford located?

Paul Ledford practices at 1500 Matthews Township Pkwy, Matthews, NC 28105. The listed phone number is (704) 384-9740.

What is Paul Ledford's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Paul Ledford enrolled in Medicare?

Yes. Paul Ledford 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 Paul Ledford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Ledford reassigns Medicare benefits to 8 organizations: Novant Medical Group, Inc. (Matthews, NC), Spartanburg Medical Center (Gaffney, SC), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC), Cumberland County Hospital System Inc (Raeford, NC), Pelham Medical Center (Greer, SC) and 3 more organizations, listed in the Medicare section above. 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 Paul Ledford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Ledford accept?

Health plans from Cigna Healthcare and First Choice Next list Paul Ledford 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 Paul Ledford affiliated with any hospitals?

According to CMS data, Paul Ledford is affiliated with Novant Health Matthews Medical Center, Haywood Regional Medical Center, Novant Health Mint Hill Medical Center, Novant Health Ballantyne Medical Center and Mcleod Regional Medical Center-Pee Dee.

When was this NPI record last updated?

The NPPES record for Paul Ledford was last updated on August 21, 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.