DR. ROBERT EVERETT QUALHEIM M.D.
NPI 1528032687
Internal Medicine - Nephrology in Elkin, NC

Q: What is Robert Qualheim's NPI number?

The NPI number for Robert Qualheim is 1528032687. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Robert Qualheim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Robert Qualheim was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment

1321 N BRIDGE ST, ELKIN, NC 28621(336) 530-4491(949) 561-5143 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Robert Everett Qualheim M.d. NPPES

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

DR. ROBERT EVERETT QUALHEIM M.D. (NPI 1528032687) is an individual nephrology provider in Elkin, North Carolina, licensed in North Carolina (28557) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of Wake Forest University School Of Medicine (1981).

NPPES Registry Identity

NPI1528032687

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ROBERT EVERETT QUALHEIMCredential: M.D.

Location Address1321 N BRIDGE STElkin, NC 28621-2303

Mailing Address1321 N Bridge StElkin, NC 28621-2303 · (336) 530-4491 · Fax (949) 561-5143

Phone(336) 530-4491

Fax(949) 561-5143

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 1981

Enumeration DateFebruary 15, 2006

Last NPPES UpdateJune 10, 2021

NPPES CertifiedJune 10, 2021

✔ NPI 1528032687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NC · 28557

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 28557 (NC)

1321 N BRIDGE ST, Elkin, NC 28621

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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

Dr. Robert Everett Qualheim 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 ID749212934

PECOS Enrollment IDI20051201000820

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 3

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.

76 services40 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.

38 services23 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

37 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340041

Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County

Emergency services

Watauga Medical Center

Acute Care Hospitals · Boone, NC

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340051

Location336 Deerfield RoadBoone, NC 28607 · Watauga County

Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341323

Location434 Hospital DriveLinville, NC 28646 · Avery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28621 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

$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier13 claims13 services$12.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

FOOTHILLS NEPHROLOGY AND HYPERTENSION CENTER

Internal Medicine (Nephrology)

1321 N BRIDGE ST
ELKIN, NC 28621

Surry County (336) 530-4491

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 Robert Qualheim's NPI number?

The NPI number for Robert Qualheim is 1528032687. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Robert Qualheim located?

Robert Qualheim practices at 1321 N Bridge St, Elkin, NC 28621. The listed phone number is (336) 530-4491.

What is Robert Qualheim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Robert Qualheim enrolled in Medicare?

Yes. Robert Qualheim 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 Robert Qualheim accept?

Health plans from Blue Cross and Blue Shield of NC list Robert Qualheim 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 Robert Qualheim affiliated with any hospitals?

According to CMS data, Robert Qualheim is affiliated with Caldwell Memorial Hospital, Watauga Medical Center and Charles A Cannon Jr Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Qualheim was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.