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MARIA TERESA JOSE MD
NPI 1437564861
Internal Medicine - Endocrinology, Diabetes & Metabolism in China Grove, NC

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
1955 S US 29 HWY, CHINA GROVE, NC 28023(704) 210-7790(704) 210-7791 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2025, Aug 2, 2019 (2 updates tracked since 2019).

About Maria Teresa Jose Md NPPES

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

MARIA TERESA JOSE MD (NPI 1437564861) is an individual endocrinology, diabetes & metabolism provider in China Grove, North Carolina, licensed in North Carolina (2025-00841) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437564861
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMARIA TERESA JOSECredential: MD
Location Address1955 S US 29 HWYChina Grove, NC 28023-5684
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 210-7790
Fax(704) 210-7791
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 24, 2014
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1437564861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in NC · 2025-00841✔ Licensed in WI · 67228
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1955 S US 29 HWY, China Grove, NC 28023
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1201 N Mayfair Rd Fl 2Wauwatosa, WI 53226-4216 · Phone (215) 501-4172
Location 22414 Kohler Memorial DrSheboygan, WI 53081-3129 · Phone (920) 457-4461 · Fax (920) 459-1483

Other Identifiers 1

Medicaid100068716WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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

Maria Teresa Jose 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 ID2163785676
PECOS Enrollment IDI20250429002728
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

2

Medicare enrollment records show Maria Jose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Endocrinology, Diabetes & Metabolism
1955 S US 29 HWY
China Grove, NC 28023
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1366242505 (704) 210-7790
Ascension Medical Group-Southeast Wisconsin Inc
649 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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 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.

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.
67 services49 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
36 services21 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.
32 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28023 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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers20 claims61 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers12 claims17 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers69 claims69 services$176.13 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 4

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

MRS. CANDICE PROCTOR STILLER NP
Nurse Practitioner
1955 S US 29 HWY
CHINA GROVE, NC 28023
Rowan County (704) 855-7611
NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1955 S US 29 HWY
CHINA GROVE, NC 28023
Rowan County (704) 210-7790
HANNAH E KING BARNHARDT FNP-C
Nurse Practitioner
1955 S US 29 HWY
CHINA GROVE, NC 28023
Rowan County (704) 855-7611
NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
1955 S US 29 HWY
CHINA GROVE, NC 28023
Rowan County (704) 855-7611

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 Maria Jose's NPI number?

The NPI number for Maria Jose is 1437564861. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Maria Jose located?

Maria Jose practices at 1955 S Us 29 Hwy, China Grove, NC 28023. The listed phone number is (704) 210-7790.

What is Maria Jose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Maria Jose enrolled in Medicare?

Yes. Maria Jose 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 Maria Jose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Jose reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (China Grove, NC) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Maria Jose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Jose accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Maria Jose 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 Maria Jose affiliated with any hospitals?

According to CMS data, Maria Jose is affiliated with Novant Health Rowan Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Jose was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.