DR. JAMES LEROY DETERDING MD
NPI 1396785994
Internal Medicine - Nephrology in Sanford, NC

Q: What is James Deterding's NPI number?

The NPI number for James Deterding is 1396785994. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is James Deterding's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for James Deterding was last updated on March 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment

1301 CENTRAL DR, SANFORD, NC 27330(919) 718-9512(919) 718-9516 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2024, Oct 20, 2022, Jul 9, 2021 (3 updates tracked since 2021).

On this page

About Dr. James Leroy Deterding Md NPPES

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

DR. JAMES LEROY DETERDING MD (NPI 1396785994) is an individual nephrology provider in Sanford, North Carolina, licensed in North Carolina (26650) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1396785994

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JAMES LEROY DETERDINGCredential: MD

Location Address1301 CENTRAL DRSanford, NC 27330-4159

Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490

Phone(919) 718-9512

Fax(919) 718-9516

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1979

Enumeration DateJune 8, 2006

Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1396785994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NC · 26650

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1301 CENTRAL DR, Sanford, NC 27330

Open in Google Maps ↗

Secondary Practice Location 1

Location 1309 New StGreensboro, NC 27405-3654 · Phone (336) 379-9708 · Fax (336) 379-8714

Other Identifiers 6

Other56-1274347NC · Tax Id # Carolina Kidney

Other28365NC · Bcbs Provider #

Other2491NC · Partners Prov. #

Other390004557NC · Rrm Provider #

Other3100127NC · Uhc Provider #

Medicaid8928365NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners.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. James Leroy Deterding 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 ID9739083221

PECOS Enrollment IDI20240530000839

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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services23 patients

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.

15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520002

Location900 Illinois AveStevens Point, WI 54481 · Portage County

Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520019

Location2251 North Shore DrRhinelander, WI 54501 · Oneida County

Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number520030

Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County

Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520033

Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County

Emergency services

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521313

Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 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.

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.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers35 claims6,540 services$0.32 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers37 claims4,080 services$0.95 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers40 claims40 services$17.51 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers48 claims48 services$11.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

MANISH KANTI SAHA MD

Internal Medicine (Nephrology)