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DANIEL T. BIONDI D.O.
NPI 1558310078
Family Medicine in Denver, NC

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
2826 LAKE SHORE RD S, DENVER, NC 28037(704) 562-1613(704) 658-0418 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2016, Jul 1, 2016 (2 updates tracked since 2016).

About Daniel T. Biondi D.o. NPPES

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

DANIEL T. BIONDI D.O. (NPI 1558310078) is an individual family medicine provider in Denver, North Carolina, licensed in North Carolina (2006-01409) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2003).

NPPES Registry Identity

NPI1558310078
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL T. BIONDICredential: D.O.
Location Address2826 LAKE SHORE RD SDenver, NC 28037-8228
Mailing Address2826 Lake Shore Rd SDenver, NC 28037-8228 · (704) 562-1613 · Fax (704) 658-0418
Phone(704) 562-1613
Fax(704) 658-0418
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2003
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration
✔ NPI 1558310078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2006-01409
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.

2826 LAKE SHORE RD S, Denver, NC 28037
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Other Identifiers 3

Medicare PIN2058870BNC
Medicaid5905122NC
Medicare PIN2058870ANC

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

Daniel T. Biondi D.o. 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 ID749200160
PECOS Enrollment IDI20061219000208
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28037 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.

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.

Reported Quality Measures

Advance Care Plan
94%31 patients4/55-star benchmark: 100%
Breast Cancer Screening
43%40 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
40%160 patients2/55-star benchmark: 88%
Diabetes: Eye Exam
33%39 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%39 patients4/55-star benchmark: 91%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%1,599 patients2/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Daniel Biondi's NPI number?

The NPI number for Daniel Biondi is 1558310078. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Daniel Biondi located?

Daniel Biondi practices at 2826 Lake Shore Rd S, Denver, NC 28037. The listed phone number is (704) 562-1613.

What is Daniel Biondi's specialty?

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

Is Daniel Biondi enrolled in Medicare?

Yes. Daniel Biondi 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 Daniel Biondi accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Daniel Biondi 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 Daniel Biondi was last updated on August 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.