HERBON E FLEMING MD
NPI 1447355185
Internal Medicine - Pulmonary Disease in Burlington, NC

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1234 HUFFMAN MILL ROAD, BURLINGTON, NC 27215(336) 538-2408(336) 584-6811 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Herbon E Fleming Md NPPES

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

HERBON E FLEMING MD (NPI 1447355185) is an individual pulmonary disease provider in Burlington, North Carolina, licensed in North Carolina (2006-01930) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Alamance Regional Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1447355185
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHERBON E FLEMINGCredential: MD
Location Address1234 HUFFMAN MILL ROADBurlington, NC 27215-8700
Mailing Address1234 Huffman Mill RoadBurlington, NC 27215-8700 · (336) 538-1234 · Fax (336) 584-6811
Fax(336) 584-6811
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 28, 2023
NPI 1447355185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 2006-01930
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1234 HUFFMAN MILL ROAD, Burlington, NC 27215

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

Herbon E Fleming 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 ID8628005113
PECOS Enrollment IDI20070418000611
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 12

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.
385 services213 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
166 services145 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
101 services74 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.
84 services55 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.
71 services55 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.
64 services64 patients

Hospital Affiliations CMS Care Compare

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

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 27215 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 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers58 claims58 services$35.93 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers16 claims31 services$1.28 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
8 suppliers15 claims16 services$13.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers85 claims85 services$83.71 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers84 claims234 services$32.79 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers32 claims187 services$16.93 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.

Advanced Practice Midwife
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215
Nurse Practitioner
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215
Internal Medicine (Cardiovascular Disease)
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215
Nurse Practitioner
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215
Orthopaedic Surgery
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215
Family Medicine
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215
Surgery
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215
Obstetrics & Gynecology
1234 HUFFMAN MILL ROAD
BURLINGTON, NC 27215

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 Herbon Fleming's NPI number?

The NPI number for Herbon Fleming is 1447355185. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Herbon Fleming located?

Herbon Fleming practices at 1234 Huffman Mill Road, Burlington, NC 27215. The listed phone number is (336) 538-2408.

What is Herbon Fleming's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Herbon Fleming enrolled in Medicare?

Yes. Herbon Fleming 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 Herbon Fleming 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 Herbon Fleming 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 Herbon Fleming affiliated with any hospitals?

According to CMS data, Herbon Fleming is affiliated with Alamance Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Herbon Fleming was last updated on September 28, 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.