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EDWARD THURMAN PLYLER M.D.
NPI 1316988058
Family Medicine in Morganton, NC

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
2201 S STERLING ST, MORGANTON, NC 28655(828) 580-6892(828) 580-5138 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 26, 2018, Jan 26, 2017 (2 updates tracked since 2017).

About Edward Thurman Plyler M.d. NPPES

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

EDWARD THURMAN PLYLER M.D. (NPI 1316988058) is an individual family medicine provider in Morganton, North Carolina, licensed in North Carolina (28077) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1981).

NPPES Registry Identity

NPI1316988058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWARD THURMAN PLYLERCredential: M.D.
Location Address2201 S STERLING STMorganton, NC 28655-4044
Mailing Address2201 S Sterling StMorganton, NC 28655-4044 · (828) 580-6892 · Fax (828) 580-5138
Phone(828) 580-6892
Fax(828) 580-5138
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1981
Enumeration DateJune 10, 2006
Last NPPES UpdateFebruary 26, 20182 updates tracked since enumeration
✔ NPI 1316988058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 28077
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2201 S STERLING ST, Morganton, NC 28655
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Other Identifiers 2

Medicaid8968290NC
Medicaid1316988058NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Edward Thurman Plyler 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 ID9335193242
PECOS Enrollment IDI20100722000585
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

5

Medicare enrollment records show Edward Plyler reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Burke Primary Care, LLC
0.2 mi
Family Medicine
103 MEDICAL HEIGHTS DR
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 25 clinicians in this Medicare group
NPI 1225085707 (828) 437-4211
Geriatric Consultants PLLC
18 mi
Geriatric Medicine
220 13TH AVENUE PL NW
Hickory, NC 28601
  • Reassigned Medicare billing, North Carolina enrollment
  • 67 clinicians in this Medicare group
NPI 1801478086 (914) 843-9637
Curana Health Of North Carolina PLLC
151 mi
Internal Medicine
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 338 clinicians in this Medicare group
NPI 1770217176 (337) 408-0797
Physicians Eldercare PA
151 mi
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 clinicians in this Medicare group
NPI 1023083268 (337) 991-9276
Careconnectmd North Carolina P.C.
156 mi
General Practice
555 S MANGUM ST STE 100
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group
NPI 1104507441 (888) 789-9585

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 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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
271 services271 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
84 services36 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
69 services14 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 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
$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 9

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$24.56 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims44 services$2.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$9.42 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims600 services$6.96 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers40 claims41 services$48.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers35 claims35 services$19.22 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.

GALEN MATTHEW EDWARDS
Physician Assistant
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (919) 461-7132
ALYSSA CLEMENT RD, LDN
Dietitian, Registered
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 580-5311
DR. SHAHEEN KHAN M.D.
Internal Medicine
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 580-6753
RAHUL PATEL
Hospitalist
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 580-5000
JAMES MATTHEW CANNON DO
Student in an Organized Health Care Education/Training Program
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 580-5000
ASHLEY N KASEY RN
Registered Nurse
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (704) 880-4361
LUIGI PAOLO FRUGONE LARREA MD
Internal Medicine
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 580-6753
SARA WOODS
Specialist/Technologist (Athletic Trainer)
2201 S STERLING ST
MORGANTON, NC 28655
Burke County (828) 580-5000

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 Edward Plyler's NPI number?

The NPI number for Edward Plyler is 1316988058. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Edward Plyler located?

Edward Plyler practices at 2201 S Sterling St, Morganton, NC 28655. The listed phone number is (828) 580-6892.

What is Edward Plyler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Plyler enrolled in Medicare?

Yes. Edward Plyler 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 Edward Plyler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Plyler reassigns Medicare benefits to 5 organizations: Burke Primary Care, LLC (Morganton, NC), Geriatric Consultants PLLC (Hickory, NC), Curana Health Of North Carolina PLLC (Durham, NC), Physicians Eldercare PA (Durham, NC) and Careconnectmd North Carolina P.C. (Durham, 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 Edward Plyler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Plyler accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Edward Plyler 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 Edward Plyler affiliated with any hospitals?

According to CMS data, Edward Plyler is affiliated with Blue Ridge Healthcare Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Edward Plyler was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.