DR. JEFFREY ALAN MCFADDEN DO
NPI 1487678652
Family Medicine in Wilmington, NC

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
1984 S 16TH ST STE 1, WILMINGTON, NC 28401(910) 452-8633(910) 452-8569 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Jan 28, 2026, Mar 7, 2023 (3 updates tracked since 2023).

About Dr. Jeffrey Alan Mcfadden Do NPPES

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

DR. JEFFREY ALAN MCFADDEN DO (NPI 1487678652) is an individual family medicine provider in Wilmington, North Carolina, licensed in North Carolina (200701218) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Physicians And Surgeons (1997).

NPPES Registry Identity

NPI1487678652
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY ALAN MCFADDENCredential: DO
Location Address1984 S 16TH ST STE 1Wilmington, NC 28401-6674
Mailing AddressPo Box 15109Wilmington, NC 28408-5109 · (910) 392-2525 · Fax (910) 392-2827
Fax(910) 452-8569
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1997
Enumeration DateJuly 27, 2006
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1487678652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 200701218✔ Licensed in IN · 02002556A✔ Licensed in IL · 036104766
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.
1984 S 16TH ST STE 1, Wilmington, NC 28401

Other Identifiers 7

Other147HRNC · Bcbs Of Nc
Other02002556AIN · State License Number
Other812085NC · Partners/blue Medicare
Other02002556BIN · State Controlled Lic
Medicaid5907839NC
Other036104766IL · State License Number
Other336090764IL · State Controlled License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Alan Mcfadden Do 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 ID2961590104
PECOS Enrollment IDI20071121000374
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jeffrey Mcfadden reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1984 S 16TH ST STE 1
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 36 clinicians in this Medicare group
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
Family Medicine
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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.

Other Providers at the Same Location NPPES 14

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

Internal Medicine
1984 S 16TH ST STE 1
WILMINGTON, NC 28401
Physician Assistant
1984 S 16TH ST STE 1
WILMINGTON, NC 28401
Nurse Practitioner (Family)
1984 S 16TH ST STE 1
WILMINGTON, NC 28401
Nurse Practitioner
1984 S 16TH ST STE 1
WILMINGTON, NC 28401
Internal Medicine
1984 S 16TH ST STE 1
WILMINGTON, NC 28401
Nurse Practitioner
1984 S 16TH ST STE 1
WILMINGTON, NC 28401
Nurse Practitioner (Family)
1984 S 16TH ST STE 1
WILMINGTON, NC 28401
Nurse Practitioner
1984 S 16TH ST STE 1
WILMINGTON, NC 28401

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 Jeffrey Mcfadden's NPI number?

The NPI number for Jeffrey Mcfadden is 1487678652. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Jeffrey Mcfadden located?

Jeffrey Mcfadden practices at 1984 S 16th St Ste 1, Wilmington, NC 28401. The listed phone number is (910) 452-8633.

What is Jeffrey Mcfadden's specialty?

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

Is Jeffrey Mcfadden enrolled in Medicare?

Yes. Jeffrey Mcfadden 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.

Which organizations bill Medicare for Jeffrey Mcfadden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Mcfadden reassigns Medicare benefits to 5 organizations: Senior Health Associates, P.A. (Wilmington, NC), Community Physicians Of Indiana Inc (Indianapolis, IN), Union Hospital, Inc. (Terre Haute, IN), Physicians Immediate Care North Chicago LLC (Chicago, IL) and Rockford Health Physicians (Rockford, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Mcfadden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Mcfadden accept?

Health plans from Cigna Healthcare list Jeffrey Mcfadden 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 Jeffrey Mcfadden was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.