WESLEY ROTEN MD
NPI 1396366522
Family Medicine in Chapel Hill, NC

Active since April 28, 2020PECOS EnrolledAccepts Medicare Assignment
590 MANNING DR, CHAPEL HILL, NC 27599(984) 974-0210 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wesley Roten Md NPPES

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

WESLEY ROTEN MD (NPI 1396366522) is an individual family medicine provider in Chapel Hill, North Carolina, licensed in North Carolina (2022-02553) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2020).

NPPES Registry Identity

NPI1396366522
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWESLEY ROTENCredential: MD
Location Address590 MANNING DRChapel Hill, NC 27599-6119
Mailing Address590 Manning DrChapel Hill, NC 27599-6119 · (828) 406-7587
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2020
Enumeration DateApril 28, 2020
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1396366522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2022-02553
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 261635 (NC)
590 MANNING DR, Chapel Hill, NC 27599

Accepted 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

Wesley Roten Md 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 ID2062843303
PECOS Enrollment IDI20230801000134
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

3

Medicare enrollment records show Wesley Roten reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
Critical Access
475 PROGRESS BLVD.
Siler City, NC 27344
  • Reassigned Medicare billing, North Carolina enrollment
  • 139 clinicians in this Medicare group
Critical Access
475 PROGRESS BLVD
Siler City, NC 27344
  • Reassigned Medicare billing, North Carolina enrollment
  • 234 clinicians in this Medicare group

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.

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.
47 services22 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.
25 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Chatham Hospital Inc

Critical Access Hospitals · Siler City, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341311
Location475 Progress BlvdSiler City, NC 27344 · Chatham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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.

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.

Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR, CB 7586
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Preventive Medicine (Public Health & General Preventive Medicine)
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR
CHAPEL HILL, NC 27599

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 Wesley Roten's NPI number?

The NPI number for Wesley Roten is 1396366522. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Wesley Roten located?

Wesley Roten practices at 590 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (984) 974-0210.

What is Wesley Roten's specialty?

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

Is Wesley Roten enrolled in Medicare?

Yes. Wesley Roten 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 Wesley Roten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wesley Roten reassigns Medicare benefits to 3 organizations: University Of North Carolina At Chapel Hill (Chapel Hill, NC), Chatham Hospital Inc (Siler City, NC) and Chatham Hospital, Inc. (Siler City, 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 Wesley Roten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wesley Roten accept?

Health plans from Blue Cross and Blue Shield of NC list Wesley Roten 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 Wesley Roten affiliated with any hospitals?

According to CMS data, Wesley Roten is affiliated with Unc Hospitals, Firsthealth Moore Regional Hospital and Chatham Hospital Inc.

When was this NPI record last updated?

The NPPES record for Wesley Roten was last updated on December 21, 2023. 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.