JOHN ANTHONY PAPALAS III M.D.
NPI 1356515233
Pathology - Dermatopathology in Greenville, NC

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment
83.38/100
CMS Quality Rating
420 SPRING FOREST RD, GREENVILLE, NC 27834(252) 752-4124 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Anthony Papalas Iii M.d. NPPES

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

JOHN ANTHONY PAPALAS III M.D. (NPI 1356515233) is an individual dermatopathology provider in Greenville, North Carolina, licensed in North Carolina (2010-00084) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2006).

NPPES Registry Identity

NPI1356515233
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameJOHN ANTHONY PAPALAS IIICredential: M.D.
Location Address420 SPRING FOREST RDGreenville, NC 27834-7244
Mailing Address420 Spring Forest RdGreenville, NC 27834-7244 · (252) 752-4124
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2006
Enumeration DateApril 22, 2008
Last NPPES UpdateJune 6, 2011
NPI 1356515233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License Licensed in NC · 2010-00084
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
420 SPRING FOREST RD, Greenville, NC 27834

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

John Anthony Papalas 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 ID3678751328
PECOS Enrollment IDI20110628000248
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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
15,353 services7,597 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
782 services686 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
646 services255 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
500 services301 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
266 services250 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
122 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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.

83.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.05
Promoting Interoperability98
Improvement Activities40
Cost83.24

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
420 SPRING FOREST RD
GREENVILLE, NC 27834
Physician Assistant
420 SPRING FOREST RD
GREENVILLE, NC 27834
Nurse Practitioner (Family)
420 SPRING FOREST RD
GREENVILLE, NC 27834
Nurse Practitioner
420 SPRING FOREST RD
GREENVILLE, NC 27834
Dermatology
420 SPRING FOREST RD
GREENVILLE, NC 27834
Dermatology (MOHS-Micrographic Surgery)
420 SPRING FOREST RD
GREENVILLE, NC 27834
Physician Assistant
420 SPRING FOREST RD
GREENVILLE, NC 27834
Dermatology
420 SPRING FOREST RD
GREENVILLE, NC 27834

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 John Papalas's NPI number?

The NPI number for John Papalas is 1356515233. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is John Papalas located?

John Papalas practices at 420 Spring Forest Rd, Greenville, NC 27834. The listed phone number is (252) 752-4124.

What is John Papalas's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is John Papalas enrolled in Medicare?

Yes. John Papalas 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 John Papalas accept?

Health plans from Blue Cross and Blue Shield of NC list John Papalas 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.

When was this NPI record last updated?

The NPPES record for John Papalas was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.