DR. WILLIAM GLEN GONCHAROW D.O.
NPI 1407113103
Emergency Medicine in Fort Bragg, NC

Active since April 18, 2012PECOS EnrolledAccepts Medicare Assignment
94.94/100
CMS Quality Rating
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-7136 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2025, Sep 7, 2022, May 17, 2019 and 1 more (4 updates tracked since 2016).

About Dr. William Glen Goncharow D.o. NPPES

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

DR. WILLIAM GLEN GONCHAROW D.O. (NPI 1407113103) is an individual emergency medicine provider in Fort Bragg, North Carolina, licensed in North Carolina (2013-01608) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1407113103
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. WILLIAM GLEN GONCHAROWCredential: D.O.
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-7324
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-8116
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 18, 2012
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1407113103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 2013-01608
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2013-01608 (NC)
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

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. William Glen Goncharow 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 ID6800023615
PECOS Enrollment IDI20220520001526
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
342 services214 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
176 services170 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
110 services110 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 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.

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.

94.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.88
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

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 William Goncharow's NPI number?

The NPI number for William Goncharow is 1407113103. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is William Goncharow located?

William Goncharow practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-7136.

What is William Goncharow's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is William Goncharow enrolled in Medicare?

Yes. William Goncharow 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.

Is William Goncharow affiliated with any hospitals?

According to CMS data, William Goncharow is affiliated with Rutherford Regional Medical Center, Novant Health Forsyth Medical Center, Novant Health Thomasville Medical Center, Novant Health New Hanover Regional Medical Center and Novant Health Brunswick Medical Center.

When was this NPI record last updated?

The NPPES record for William Goncharow was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.