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CARLEIGH WHITAKER NEWELL PA
NPI 1457500316
Physician Assistant in Kings Mountain, NC

Active since September 16, 2008PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2202 CAROLINA PL, STE 100, KINGS MOUNTAIN, NC 28086(980) 487-2290 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 57 more (60 updates tracked since 2018).

About Carleigh Whitaker Newell Pa NPPES

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

CARLEIGH WHITAKER NEWELL PA (NPI 1457500316) is an individual physician assistant in Kings Mountain, North Carolina, licensed in North Carolina (0010-03541) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1457500316
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLEIGH WHITAKER NEWELLCredential: PA
Location Address2202 CAROLINA PL, STE 100Kings Mountain, NC 28086-8807
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 487-2290
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJuly 15, 202460 updates tracked since enumeration
✔ NPI 1457500316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-03541
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2202 CAROLINA PL, Kings Mountain, NC 28086
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Carleigh Whitaker Newell Pa 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 ID2567529662
PECOS Enrollment IDI20120917000618
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 7

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.
445 services184 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
118 services60 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.
47 services47 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
46 services46 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
46 services46 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28086 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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
12 suppliers33 claims93 services$6.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$92.94 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.28 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers40 claims9,205 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier21 claims1,050 services$0.71 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers36 claims36 services$25.20 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 6

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

CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2290
ANITA EMEFA KPODO MD
Pediatrics
2202 CAROLINA PL, STE 200
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2950
LAURENCE MICHAEL KISH MD
Internal Medicine
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2290
KELLY REYNA RADFORD DO
Family Medicine
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2290
CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine
2202 CAROLINA PL, STE 100
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2270
CHRISTOPHER M. CERJAN MD
Pediatrics
2202 CAROLINA PL, STE 200
KINGS MOUNTAIN, NC 28086
Cleveland County (980) 487-2950

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 Carleigh Newell's NPI number?

The NPI number for Carleigh Newell is 1457500316. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Carleigh Newell located?

Carleigh Newell practices at 2202 Carolina Pl Ste 100, Kings Mountain, NC 28086. The listed phone number is (980) 487-2290.

What is Carleigh Newell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carleigh Newell enrolled in Medicare?

Yes. Carleigh Newell 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 Carleigh Newell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Carleigh Newell 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 Carleigh Newell affiliated with any hospitals?

According to CMS data, Carleigh Newell is affiliated with Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Carleigh Newell was last updated on July 15, 2024. 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.