CAROLYN SEARS AVERY M.D., M.H.S.
NPI 1467695486
Pediatrics in Durham, NC

Active since April 07, 2009PECOS EnrolledAccepts Medicare Assignment
4020 N ROXBORO ST, DURHAM, NC 27704(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn Sears Avery M.d., M.h.s. NPPES

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

CAROLYN SEARS AVERY M.D., M.H.S. (NPI 1467695486) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (2013-00157) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Yale University School Of Medicine (2009).

NPPES Registry Identity

NPI1467695486
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLYN SEARS AVERYCredential: M.D., M.H.S.
Location Address4020 N ROXBORO STDurham, NC 27704-2120
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 684-8111
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2009
Enumeration DateApril 7, 2009
Last NPPES UpdateMarch 21, 2013
NPI 1467695486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NC · 2013-00157 Licensed in NC · 157317
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 157317 (NC)
4020 N ROXBORO ST, Durham, NC 27704

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

Carolyn Sears Avery M.d., M.h.s. 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 ID9638318538
PECOS Enrollment IDI20130626000347
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 6

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.
28 services21 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.
21 services13 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.
17 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 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.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$33.57 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.

Internal Medicine
4020 N ROXBORO ST
DURHAM, NC 27704
Social Worker (Clinical)
4020 N ROXBORO ST
DURHAM, NC 27704
Pediatrics
4020 N ROXBORO ST
DURHAM, NC 27704
Pediatrics
4020 N ROXBORO ST
DURHAM, NC 27704
Social Worker (Clinical)
4020 N ROXBORO ST
DURHAM, NC 27704
Pediatrics
4020 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine
4020 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine
4020 N ROXBORO ST
DURHAM, NC 27704

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 Carolyn Avery's NPI number?

The NPI number for Carolyn Avery is 1467695486. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is Carolyn Avery located?

Carolyn Avery practices at 4020 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 684-8111.

What is Carolyn Avery's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carolyn Avery enrolled in Medicare?

Yes. Carolyn Avery 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 Carolyn Avery 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 Carolyn Avery 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 Carolyn Avery affiliated with any hospitals?

According to CMS data, Carolyn Avery is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Avery was last updated on March 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.