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DR. VALARMATHI SUNDAR MD
NPI 1467420182
Family Medicine in Henderson, NC

Active since March 09, 2006PECOS Enrolled
511 RUIN CREEK RD, SUITE: 203, HENDERSON, NC 27536(252) 492-6127 Get Directions Write a Review

NPPES record last updated: January 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Valarmathi Sundar Md NPPES

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

DR. VALARMATHI SUNDAR MD (NPI 1467420182) is an individual family medicine provider in Henderson, North Carolina, licensed in North Carolina (200100477) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467420182
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VALARMATHI SUNDARCredential: MD
Location Address511 RUIN CREEK RD, SUITE: 203Henderson, NC 27536-5919
Mailing Address511 Ruin Creek Rd, Suite: 203Henderson, NC 27536-5919 · (252) 492-6127
Phone(252) 492-6127
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 22, 2022
NPPES CertifiedJanuary 22, 2022
✔ NPI 1467420182 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 · 200100477
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.
511 RUIN CREEK RD, Henderson, NC 27536
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Other Identifiers 1

Medicaid89130XHNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Valarmathi Sundar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,032 services152 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
52 services49 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
49 services49 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
45 services27 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27536 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 12

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier45 claims1,196 services$7.66 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier21 claims6,379 services$0.39 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier34 claims12,139 services$0.85 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
2 suppliers12 claims12 services$70.81 avg. paid by Medicare
Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$64.55 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers29 claims30 services$66.81 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.

DR. SAMUEL G MCCASKILL JR. MD
Obstetrics & Gynecology
511 RUIN CREEK RD
HENDERSON, NC 27536
Vance County (252) 492-8576
RICHARD J. NOEL, DDS,PA
Clinic/Center (Dental)
511 RUIN CREEK RD, SUITE 201
HENDERSON, NC 27536
Vance County (252) 438-8146
SERAFIN PLASTIC SURGERY PLLC
Plastic Surgery
511 RUIN CREEK RD, SUITE 104 B
HENDERSON, NC 27536
Vance County (919) 220-7711
SAMANTHA CAROLE PERNELL
Nurse Practitioner
511 RUIN CREEK RD
HENDERSON, NC 27536
Vance County (252) 436-0440
HENDERSON CLINIC FOR WOMEN PA
Legal Medicine
511 RUIN CREEK RD, STE 101
HENDERSON, NC 27536
Vance County (252) 492-8576
DR. VEERAPPAN SUNDAR MD
Internal Medicine
511 RUIN CREEK RD, 203
HENDERSON, NC 27536
Vance County (252) 492-6127
ELIZABETH ANN HOUSTON NP
Nurse Practitioner (Obstetrics & Gynecology)
511 RUIN CREEK RD, STE 101
HENDERSON, NC 27536
Vance County (252) 492-8576
DR. WILLIAM TIPPETT PHARM.D., R.PH
Pharmacist
511 RUIN CREEK RD, STE 102
HENDERSON, NC 27536
Vance County (252) 492-4601

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 Valarmathi Sundar's NPI number?

The NPI number for Valarmathi Sundar is 1467420182. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Valarmathi Sundar located?

Valarmathi Sundar practices at 511 Ruin Creek Rd Suite: 203, Henderson, NC 27536. The listed phone number is (252) 492-6127.

What is Valarmathi Sundar's specialty?

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

Is Valarmathi Sundar enrolled in Medicare?

Yes. Valarmathi Sundar is registered in the Medicare PECOS enrollment system.

What insurance does Valarmathi Sundar accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Valarmathi Sundar 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.

When was this NPI record last updated?

The NPPES record for Valarmathi Sundar was last updated on January 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.