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LLOYD A HEY M.D., M.S.
NPI 1477523876
Orthopaedic Surgery in Raleigh, NC

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3320 WAKE FOREST RD STE 450, RALEIGH, NC 27609(919) 790-1717(919) 926-1163 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lloyd A Hey M.d., M.s. NPPES

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

LLOYD A HEY M.D., M.S. (NPI 1477523876) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (9500096) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Harvard Medical School (1988).

NPPES Registry Identity

NPI1477523876
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLLOYD A HEYCredential: M.D., M.S.
Location Address3320 WAKE FOREST RD STE 450Raleigh, NC 27609
Mailing Address3320 Wake Forest Rd Ste 450Raleigh, NC 27609-7300 · (919) 790-1717 · Fax (919) 926-1163
Phone(919) 790-1717
Fax(919) 926-1163
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 1988
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMay 17, 2018
✔ NPI 1477523876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 9500096
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3320 WAKE FOREST RD STE 450, Raleigh, NC 27609
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Other Identifiers 2

Other2342276NC · Medicare Group Pin
Medicaid8941750NC

Accepted Insurance

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

Lloyd A Hey M.d., M.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 ID42269854
PECOS Enrollment IDI20050120000077
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 11

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.

X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
382 services253 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
194 services29 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.
167 services131 patients
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.
141 services106 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.
62 services62 patients
Incision or removal of spine bone segment, each additional segment 22216
This procedure involves making an incision to remove a portion of the spine bone, often to alleviate pressure or pain. If more segments need to be removed, the process is repeated for each additional segment. This is done under general anesthesia.
37 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

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%249 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0626
DME-Orthotic Devices · category DF007N
1 supplier38 claims38 services$65.02 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.

MS. KATHERINE MEGAN BOYER PA-C
Physician Assistant
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717
JESSICA POBA POLO NP
Nurse Practitioner (Family)
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717
KRISTINA STANSON PA-C
Physician Assistant (Surgical)
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717
HEY CLINIC, PA
Specialist
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717

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 Lloyd Hey's NPI number?

The NPI number for Lloyd Hey is 1477523876. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Lloyd Hey located?

Lloyd Hey practices at 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609. The listed phone number is (919) 790-1717.

What is Lloyd Hey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lloyd Hey enrolled in Medicare?

Yes. Lloyd Hey 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 Lloyd Hey accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Lloyd Hey 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 Lloyd Hey affiliated with any hospitals?

According to CMS data, Lloyd Hey is affiliated with Duke University Hospital and Carteret General Hospital.

When was this NPI record last updated?

The NPPES record for Lloyd Hey was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.