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AUSTIN CLAY POPE PA
NPI 1518630581
Physician Assistant in Winston Salem, NC

Active since July 27, 2021PECOS EnrolledAccepts Medicare Assignment
86.48/100
CMS Quality Rating
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103(336) 768-6211(336) 765-0051 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Austin Clay Pope Pa NPPES

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

AUSTIN CLAY POPE PA (NPI 1518630581) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-11434) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Wake Forest University School Of Medicine (2021).

NPPES Registry Identity

NPI1518630581
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAUSTIN CLAY POPECredential: PA
Location Address195 KIMEL PARK DR STE 200Winston Salem, NC 27103-6967
Mailing Address195 Kimel Park Dr Ste 200Winston Salem, NC 27103-6967 · (336) 768-6211 · Fax (336) 765-0051
Phone(336) 768-6211
Fax(336) 765-0051
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2021
Enumeration DateJuly 27, 2021
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1518630581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-11434
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
195 KIMEL PARK DR STE 200, Winston Salem, NC 27103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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

Austin Clay Pope Pa 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 ID1658776489
PECOS Enrollment IDI20210817003032
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 5

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 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.
197 services134 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.
53 services51 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.
20 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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.

86.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.58
Promoting Interoperability100
Improvement Activities40
Cost67.37

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.

DR. MARCUM G GILLIS MD
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
TILAK RAJ BABA
Internal Medicine
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
DR. CHARLES PETER KATOPES III M.D.
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
INGRID GONZALEZ M.D.
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
DR. JERALD LUKE WINTER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
TREVOR SPURLING PA
Physician Assistant
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
MURAT KEMAL AKDAMAR MD
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211
DR. JEREMY THOMAS GILLESPIE M.D.
Internal Medicine
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6211

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 Austin Pope's NPI number?

The NPI number for Austin Pope is 1518630581. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Austin Pope located?

Austin Pope practices at 195 Kimel Park Dr Ste 200, Winston Salem, NC 27103. The listed phone number is (336) 768-6211.

What is Austin Pope's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Austin Pope enrolled in Medicare?

Yes. Austin Pope 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 Austin Pope accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Austin Pope 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 Austin Pope affiliated with any hospitals?

According to CMS data, Austin Pope is affiliated with Novant Health Forsyth Medical Center and Novant Health Thomasville Medical Center.

When was this NPI record last updated?

The NPPES record for Austin Pope was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.