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ANDREW RAMON DE LA PAZ M.D.
NPI 1477987030
Internal Medicine - Cardiovascular Disease in Apex, NC

Active since August 30, 2013PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, May 4, 2021, Apr 27, 2017 (3 updates tracked since 2017).

About Andrew Ramon De La Paz M.d. NPPES

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

ANDREW RAMON DE LA PAZ M.D. (NPI 1477987030) is an individual cardiovascular disease provider in Apex, North Carolina, licensed in North Carolina (2020-02968) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Oregon Health Sciences University School Of Medicine (2017).

NPPES Registry Identity

NPI1477987030
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANDREW RAMON DE LA PAZCredential: M.D.
Location Address1480 KELLY RDApex, NC 27502-9004
Mailing Address1480 Kelly RdApex, NC 27502-9004 · (984) 974-4010
Phone(984) 974-4010
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2017
Enumeration DateAugust 30, 2013
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1477987030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 2020-02968
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1480 KELLY RD, Apex, NC 27502
Open in Google Maps ↗

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

Andrew Ramon De La Paz 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 ID2163799339
PECOS Enrollment IDI20240730000011
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services33 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
39 services39 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
34 services31 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.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services19 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.
21 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27502 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 8

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

DR. MAGALLY PROSPER M.D.
Pediatrics
1480 KELLY RD
APEX, NC 27502
Wake County (919) 228-2423
MARGARET MARY WROBLESKI
Dietitian, Registered
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
JILL A SCHAEFFER MD
Internal Medicine
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
MRS. HEATHER LILES JOYNER
Social Worker (Clinical)
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
CHELSEA NICOLE ASHFORD PA
Physician Assistant
1480 KELLY RD
APEX, NC 27502
Wake County (919) 228-2423
ALEXANDRA FRYE COVINGTON
Physician Assistant
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
DR. CLAUDE H SPRINGFIELD IV M.D.
Family Medicine
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
TENEISHA CECELIA DAVIS M.D.
Family Medicine
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363

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 Andrew De La Paz's NPI number?

The NPI number for Andrew De La Paz is 1477987030. It was assigned to this individual provider in the NPPES registry on August 30, 2013.

Where is Andrew De La Paz located?

Andrew De La Paz practices at 1480 Kelly Rd, Apex, NC 27502. The listed phone number is (984) 974-4010.

What is Andrew De La Paz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Andrew De La Paz enrolled in Medicare?

Yes. Andrew De La Paz 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 Andrew De La Paz accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Andrew De La Paz 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 Andrew De La Paz affiliated with any hospitals?

According to CMS data, Andrew De La Paz is affiliated with Unc Hospitals, Johnston Health, Rex Hospital and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew De La Paz was last updated on July 24, 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.