DR. MARIO ERNESTO OLMEDO MD
NPI 1396945028
Family Medicine in Durham, NC

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
1901 HILLANDALE RD, SUITE D, DURHAM, NC 27705(919) 383-4355 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mario Ernesto Olmedo Md NPPES

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

DR. MARIO ERNESTO OLMEDO MD (NPI 1396945028) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (2007-01855) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2005).

NPPES Registry Identity

NPI1396945028
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIO ERNESTO OLMEDOCredential: MD
Location Address1901 HILLANDALE RD, SUITE DDurham, NC 27705-2664
Mailing AddressBox 3886, Dumc, 2100 Erwin RoadDurham, NC 27710 · (919) 684-6721 · Fax (919) 668-1785
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2005
Enumeration DateJuly 20, 2007
Last NPPES UpdateSeptember 19, 2008
NPI 1396945028 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 · 2007-01855
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.

1901 HILLANDALE RD, Durham, NC 27705

Other Identifiers 2

Medicaid5909827NC
Medicare PIN2022623NC

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

Dr. Mario Ernesto Olmedo 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 ID1759456023
PECOS Enrollment IDI20080820000785
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.

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.
415 services212 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
222 services143 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.
69 services69 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services49 patients
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.
46 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
5 suppliers41 claims112 services$6.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims26 services$1.20 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.

Emergency Medicine
1901 HILLANDALE RD, SUITE D
DURHAM, NC 27705
Family Medicine
1901 HILLANDALE RD, SUITE D
DURHAM, NC 27705
Family Medicine
1901 HILLANDALE RD, SUITE D
DURHAM, NC 27705
Nurse Practitioner (Family)
1901 HILLANDALE RD, SUITE D
DURHAM, NC 27705
Nurse Practitioner (Family)
1901 HILLANDALE RD, SUITE F
DURHAM, NC 27705
Emergency Medicine
1901 HILLANDALE RD, SUITE D
DURHAM, NC 27705
Pharmacy (Community/Retail Pharmacy)
1901 HILLANDALE RD
DURHAM, NC 27705
Family Medicine
1901 HILLANDALE RD, SUITE D
DURHAM, NC 27705

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 Mario Olmedo's NPI number?

The NPI number for Mario Olmedo is 1396945028. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Mario Olmedo located?

Mario Olmedo practices at 1901 Hillandale Rd Suite D, Durham, NC 27705. The listed phone number is (919) 383-4355.

What is Mario Olmedo's specialty?

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

Is Mario Olmedo enrolled in Medicare?

Yes. Mario Olmedo 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 Mario Olmedo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Mario Olmedo 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 Mario Olmedo affiliated with any hospitals?

According to CMS data, Mario Olmedo is affiliated with Duke University Hospital and Alamance Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mario Olmedo was last updated on September 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.