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PAUL R MONCLA M.D.
NPI 1477533065
Obstetrics & Gynecology in Elizabeth City, NC

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
1141 N ROAD ST, SUITE I, ELIZABETH CITY, NC 27909(252) 338-0101(252) 331-1598 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul R Moncla M.d. NPPES

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

PAUL R MONCLA M.D. (NPI 1477533065) is an individual obstetrics & gynecology provider in Elizabeth City, North Carolina, licensed in North Carolina (9901580) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Brody School Of Medicine At East Carolina University (1998).

NPPES Registry Identity

NPI1477533065
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePAUL R MONCLACredential: M.D.
Location Address1141 N ROAD ST, SUITE IElizabeth City, NC 27909-3354
Mailing Address1141 N Road St, Suite IElizabeth City, NC 27909-3354 · (252) 338-0101 · Fax (252) 331-1598
Phone(252) 338-0101
Fax(252) 331-1598
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1998
Enumeration DateJanuary 19, 2006
Last NPPES UpdateFebruary 10, 2011
✔ NPI 1477533065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 9901580
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1141 N ROAD ST, Elizabeth City, NC 27909
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type Unspecified2043003NC · Medicare Provider Number
Medicaid5900947NC
Medicare UPINI37109NC
Other56-1474922NC · Tricare / Champus Prov #
OtherE3607NC · Medcost Provider Number
Other139K3NC · Bc/bs Of Nc Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Paul R Moncla M.d. 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 ID3870522055
PECOS Enrollment IDI20050818000029, I20190404000241
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 9

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 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.
56 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services16 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.
26 services20 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
23 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 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
$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.

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.

MRS. ANNE MARY POKORNY RD, LD, MHA
Dietitian, Registered
1141 N ROAD ST, SUITE K
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-2293
ALFRED M MONCLA MD
Obstetrics & Gynecology
1141 N ROAD ST, SUITE I
ELIZABETH CITY, NC 27909
Pasquotank County (252) 338-0101
ANDREA M. DUNLAP PA-C
Physician Assistant
1141 N ROAD ST, SUITE L
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0803
LASHONDA RENEE DANCE LCSWA
Social Worker (Clinical)
1141 N ROAD ST, SUITE L
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0803
MS. LINDA G BROWER PA-C
Physician Assistant (Medical)
1141 N ROAD ST, SUITE G
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-5424
MS. MONIFA DUKES CNM
Advanced Practice Midwife
1141 N ROAD ST, SUITE I
ELIZABETH CITY, NC 27909
Pasquotank County (252) 338-0101
MR. CHRISTOPHER NOEL EDWARDS LCSW
Social Worker (Clinical)
1141 N ROAD ST, STE L
ELIZABETH CITY, NC 27909
Pasquotank County (252) 335-0803
DR. JAYESH J KINARIWALA MD
Specialist
1141 N ROAD ST, SUITE M
ELIZABETH CITY, NC 27909
Pasquotank County (252) 338-2155

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 Paul Moncla's NPI number?

The NPI number for Paul Moncla is 1477533065. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Paul Moncla located?

Paul Moncla practices at 1141 N Road St Suite I, Elizabeth City, NC 27909. The listed phone number is (252) 338-0101.

What is Paul Moncla's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Paul Moncla enrolled in Medicare?

Yes. Paul Moncla 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 Paul Moncla accept?

Health plans from Blue Cross and Blue Shield of NC list Paul Moncla 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 Paul Moncla affiliated with any hospitals?

According to CMS data, Paul Moncla is affiliated with Sentara Albemarle Medical Center, The Outer Banks Hospital, Inc and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Paul Moncla was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.