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DR. CAROLINE M. HOUSTON M.D.
NPI 1376748244
Internal Medicine - Endocrinology, Diabetes & Metabolism in Greenville, NC

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
600 MOYE BLVD, GREENVILLE, NC 27834(252) 744-1959(252) 744-1200 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Caroline M. Houston M.d. NPPES

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

DR. CAROLINE M. HOUSTON M.D. (NPI 1376748244) is an individual endocrinology, diabetes & metabolism provider in Greenville, North Carolina, licensed in North Carolina (201302043) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2007).

NPPES Registry Identity

NPI1376748244
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. CAROLINE M. HOUSTONCredential: M.D.
Location Address600 MOYE BLVDGreenville, NC 27834-4300
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 744-1959
Fax(252) 744-1200
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2007
Enumeration DateJune 19, 2007
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1376748244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 201302043
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License R8088 (IA), 39025 (IA)
600 MOYE BLVD, Greenville, NC 27834
Open in Google Maps ↗

Other Identifiers 2

Medicaid1376748244NC
Other182NTNC · Bcbsnc

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. Caroline M. Houston 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 ID2264563238
PECOS Enrollment IDI20131217001104
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 9

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.
82 services68 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
76 services49 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
54 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services26 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
42 services29 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.
37 services19 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers13 claims165 services$17.16 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers13 claims390 services$2.19 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers35 claims204 services$6.73 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers166 claims167 services$188.09 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.

MS. MONICA HOUGH CCC-SLP
Speech-Language Pathologist
600 MOYE BLVD, SCHOOL OF ALLIED HEALTH SCIENCES/CSDI
GREENVILLE, NC 27834
Pitt County (252) 744-6099
EAST CAROLINA UNIVERSITY
Pathology (Anatomic Pathology & Clinical Pathology)
600 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2128
DR. EDWARD L TREADWELL M.D.
Internal Medicine (Rheumatology)
600 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-3169
DR. JUDY W WOOD MD
Pediatrics
600 MOYE BLVD, PEDIATRIC OUTPATIENT CENTER
GREENVILLE, NC 27834
Pitt County (252) 744-2335
DR. PAUL R WALKER M.D.
Internal Medicine (Hematology & Oncology)
600 MOYE BLVD, LEO JENKINS CANCER SERVICES HEMTOLOGY/ONCOLOGY
GREENVILLE, NC 27834
Pitt County (252) 744-3563
DR. MICHAEL W.A. CHU M.D.
Surgery
600 MOYE BLVD, LEO JENKINS CANCER CENTER
GREENVILLE, NC 27834
Pitt County (252) 744-4822
DR. JOHN D CHRISTIE MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
600 MOYE BLVD, ECU PHYSICIANS PATHOLOGY BRODY OUTPATIENT CENTER
GREENVILLE, NC 27834
Pitt County (252) 744-2803
MRS. ALLYSON HILL TURNAGE MS. CCC-SLP
Speech-Language Pathologist
600 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-6104

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 Caroline Houston's NPI number?

The NPI number for Caroline Houston is 1376748244. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Caroline Houston located?

Caroline Houston practices at 600 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-1959.

What is Caroline Houston's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Caroline Houston enrolled in Medicare?

Yes. Caroline Houston 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 Caroline Houston accept?

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

According to CMS data, Caroline Houston is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Houston was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.