LORI ANN RICKLEFS D.O.
NPI 1376864199
Family Medicine in Rocky Mount, NC

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
804 ENGLISH RD STE 100, ROCKY MOUNT, NC 27804(252) 443-3133(252) 443-6726 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Oct 12, 2021, Jun 28, 2021 (3 updates tracked since 2021).

About Lori Ann Ricklefs D.o. NPPES

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

LORI ANN RICKLEFS D.O. (NPI 1376864199) is an individual family medicine provider in Rocky Mount, North Carolina, licensed in North Carolina (2013-01706) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Unc Health Nash, and is a graduate of West Virginia School Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1376864199
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORI ANN RICKLEFSCredential: D.O.
Location Address804 ENGLISH RD STE 100Rocky Mount, NC 27804-6027
Mailing Address1000 Centre Green Way Ste 270Cary, NC 27513-2282 · (919) 439-8108 · Fax (919) 439-8108
Fax(252) 443-6726
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2010
Enumeration DateJune 16, 2010
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1376864199 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 · 2013-01706
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.
804 ENGLISH RD STE 100, Rocky Mount, NC 27804

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

Lori Ann Ricklefs D.o. 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 ID4587899976
PECOS Enrollment IDI20131018001535
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.
468 services244 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
199 services20 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
190 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

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 27804 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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers23 claims52 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers13 claims17 services$0.88 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 12

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

Family Medicine
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804
Nurse Practitioner (Family)
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804
Nurse Practitioner (Adult Health)
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804
Nurse Practitioner (Family)
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804
Physician Assistant
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804
Internal Medicine
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804
Nurse Practitioner (Family)
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804
Physician Assistant
804 ENGLISH RD STE 100
ROCKY MOUNT, NC 27804

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 Lori Ricklefs's NPI number?

The NPI number for Lori Ricklefs is 1376864199. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Lori Ricklefs located?

Lori Ricklefs practices at 804 English Rd Ste 100, Rocky Mount, NC 27804. The listed phone number is (252) 443-3133.

What is Lori Ricklefs's specialty?

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

Is Lori Ricklefs enrolled in Medicare?

Yes. Lori Ricklefs 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 Lori Ricklefs accept?

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

According to CMS data, Lori Ricklefs is affiliated with Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Lori Ricklefs was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.