DR. WALTER S FASOLAK DO
NPI 1497716211
Obstetrics & Gynecology in Southern Pines, NC

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.04/100
CMS Quality Rating
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC, SOUTHERN PINES, NC 28387(910) 692-7928(910) 692-5962 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Walter S Fasolak Do NPPES

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

DR. WALTER S FASOLAK DO (NPI 1497716211) is an individual obstetrics & gynecology provider in Southern Pines, North Carolina, licensed in North Carolina (39728) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Kansas City University Of Physicians And Surgeons (1984).

NPPES Registry Identity

NPI1497716211
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. WALTER S FASOLAKCredential: DO
Location Address145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PCSouthern Pines, NC 28387
Mailing AddressPo Box 749, Southern Pines Womens Health Center PcSouthern Pines, NC 28388-0749 · (910) 692-7928 · Fax (910) 692-5962
Fax(910) 692-5962
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1984
Enumeration DateMarch 31, 2006
Last NPPES UpdateFebruary 25, 2010
NPI 1497716211 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 · 39728
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.
145 APPLECROSS RD, Southern Pines, NC 28387

Other Identifiers 9

Other42653Medcost
Medicaid8931369NC
Other9663436Ghi
Other980000066Medicare Railroad
Medicare ID-Type Unspecified2169411
MedicaidQ39728SC
OtherFH1000115First Carolina Care
Other31369Blue Cross Blue Shield
Medicare UPINF22863

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

Dr. Walter S Fasolak 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 ID1759339757
PECOS Enrollment IDI20100430000706
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 14

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
84 services63 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.
83 services66 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.
42 services32 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.
33 services28 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.
30 services30 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
29 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Firsthealth Montgomery Memorial Hosp

Critical Access Hospitals · Troy, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341303
Location520 Allen StreetTroy, NC 27371 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 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.

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.

94.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost90.99

Other Providers at the Same Location NPPES 6

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

Obstetrics & Gynecology
145 APPLECROSS RD
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
145 APPLECROSS RD
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387

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 Walter Fasolak's NPI number?

The NPI number for Walter Fasolak is 1497716211. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Walter Fasolak located?

Walter Fasolak practices at 145 Applecross Rd Southern Pines Womens Health Center PC, Southern Pines, NC 28387. The listed phone number is (910) 692-7928.

What is Walter Fasolak's specialty?

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

Is Walter Fasolak enrolled in Medicare?

Yes. Walter Fasolak 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 Walter Fasolak 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 Walter Fasolak 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 Walter Fasolak affiliated with any hospitals?

According to CMS data, Walter Fasolak is affiliated with Firsthealth Moore Regional Hospital and Firsthealth Montgomery Memorial Hosp.

When was this NPI record last updated?

The NPPES record for Walter Fasolak was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.