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DR. RANDAL K DETWILER MD
NPI 1306911177
Internal Medicine - Nephrology in Chapel Hill, NC

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
101 MANNING DR, CHAPEL HILL, NC 27599(919) 966-8596(919) 843-5515 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Randal K Detwiler Md NPPES

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

DR. RANDAL K DETWILER MD (NPI 1306911177) is an individual nephrology provider in Chapel Hill, North Carolina and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and is a graduate of Ohio State University College Of Medicine (1986).

NPPES Registry Identity

NPI1306911177
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RANDAL K DETWILERCredential: MD
Location Address101 MANNING DRChapel Hill, NC 27599-0001
Mailing Address143 W Franklin StChapel Hill, NC 27516-2539 · (919) 966-8596 · Fax (919) 843-5515
Phone(919) 966-8596
Fax(919) 843-5515
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1986
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306911177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
101 MANNING DR, Chapel Hill, NC 27599
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Other Identifiers 3

Medicare UPIND92927NC
Medicaid89132GWNC
Medicare ID-Type Unspecified2189963CNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Randal K Detwiler Md 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 ID1850427774
PECOS Enrollment IDI20100330001272
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
187 services96 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.
66 services53 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.
59 services28 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier16 claims16 services$18.56 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims116 services$36.01 avg. paid by Medicare
Injection, foscarnet sodium, per 1000 mg J1455
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier16 claims324 services$66.14 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers48 claims2,880 services$0.90 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
5 suppliers191 claims67,440 services$1.18 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
29 suppliers616 claims79,265 services$0.30 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.

RICHARD M MONTMENY
Physical Therapist
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
JOSEPH PIVEN MD
Psychiatry & Neurology (Psychiatry)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8696
DR. JOE T MINCHEW MD
Orthopaedic Surgery
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
DR. ROBERT V KELLY MD
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996
DR. GEORGE A STOUFFER III MD
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, ND 27599
Orange County (919) 966-4131
DR. MARGARET L GULLEY MD
Pathology (Clinical Pathology/Laboratory Medicine)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996
PROF. MARY E VANBOURGONDIEN PH.D.
Psychologist (Clinical)
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-8596
MONICA A BELGADO CRNA
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27599
Orange County (919) 966-4996

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 Randal Detwiler's NPI number?

The NPI number for Randal Detwiler is 1306911177. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Randal Detwiler located?

Randal Detwiler practices at 101 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (919) 966-8596.

What is Randal Detwiler's specialty?

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

Is Randal Detwiler enrolled in Medicare?

Yes. Randal Detwiler 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 Randal Detwiler accept?

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

According to CMS data, Randal Detwiler is affiliated with Southeastern Regional Medical Center, Unc Hospitals, Rex Hospital, Firsthealth Moore Regional Hospital and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Randal Detwiler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.