DR. WILLIAM W WHARTON III M.D.
NPI 1326044454
Internal Medicine - Cardiovascular Disease in Asheville, NC

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5 VANDERBILT PARK DR, ASHEVILLE, NC 28803(828) 274-6000(828) 274-0625 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, Feb 25, 2016 (2 updates tracked since 2016).

About Dr. William W Wharton Iii M.d. NPPES

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

DR. WILLIAM W WHARTON III M.D. (NPI 1326044454) is an individual cardiovascular disease provider in Asheville, North Carolina, licensed in North Carolina (34767) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of Virginia School Of Medicine (1988).

NPPES Registry Identity

NPI1326044454
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. WILLIAM W WHARTON IIICredential: M.D.
Location Address5 VANDERBILT PARK DRAsheville, NC 28803-1700
Mailing AddressPo Box 602381Charlotte, NC 28260-2381 · (828) 274-6000 · Fax (828) 274-0625
Fax(828) 274-0625
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1988
Enumeration DateJune 23, 2005
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPI 1326044454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 34767
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5 VANDERBILT PARK DR, Asheville, NC 28803

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

Dr. William W Wharton Iii 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 ID8123032737
PECOS Enrollment IDI20060203000088
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 31

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.
576 services434 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
540 services524 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
389 services344 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
92 services92 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
83 services83 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.
83 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe 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

Highlands Cashiers Hospital

Critical Access Hospitals · Highlands, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341316
Location190 Hospital DriveHighlands, NC 28741 · Macon County
Emergency services

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

Angel Medical Center

Critical Access Hospitals · Franklin, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341326
Location124 Center Court PO Box 1209Franklin, NC 28734 · Macon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
5 VANDERBILT PARK DR, ASHEVILLE CARDIOLOGY ASSOCIATES
ASHEVILLE, NC 28803
Internal Medicine (Cardiovascular Disease)
5 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Internal Medicine (Cardiovascular Disease)
5 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Physician Assistant
5 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Nurse Practitioner
5 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Internal Medicine (Cardiovascular Disease)
5 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Internal Medicine (Clinical Cardiac Electrophysiology)
5 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Nurse Practitioner
5 VANDERBILT PARK DR
ASHEVILLE, NC 28803

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 William Wharton's NPI number?

The NPI number for William Wharton is 1326044454. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is William Wharton located?

William Wharton practices at 5 Vanderbilt Park Dr, Asheville, NC 28803. The listed phone number is (828) 274-6000.

What is William Wharton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is William Wharton enrolled in Medicare?

Yes. William Wharton 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 William Wharton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list William Wharton 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 William Wharton affiliated with any hospitals?

According to CMS data, William Wharton is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Haywood Regional Medical Center, Highlands Cashiers Hospital, Transylvania Regional Hospital, Inc and Angel Medical Center.

When was this NPI record last updated?

The NPPES record for William Wharton was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.