OWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE PLLC
NPI 1598841868
Surgery in Fayetteville, NC

Q: What is Owen Drive Surgical Clinic Of Fayetteville PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 31, 2006

513 OWEN DR, FAYETTEVILLE, NC 28304(910) 323-0101(910) 484-2654 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Owen Drive Surgical Clinic Of Fayetteville Pllc NPPES

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

OWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE PLLC (NPI 1598841868) is a healthcare organization registered as a surgery in Fayetteville, North Carolina and active in the NPI registry since October 2006. The organization lists Bunny Marie Pere, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1598841868

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameOWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE PLLC

Location Address513 OWEN DRFayetteville, NC 28304-3433

Mailing Address513 Owen DrFayetteville, NC 28304-3433 · (910) 323-0101 · Fax (910) 484-2654

Phone(910) 323-0101

Fax(910) 484-2654

Organization SubpartNo

Authorized OfficialBunny Marie PereOffice Manager · (910) 323-0101

Enumeration DateOctober 31, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1598841868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

513 OWEN DR, Fayetteville, NC 28304

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Other Identifiers 1

Other017XCNC · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Owen Drive Surgical Clinic Of Fayetteville Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Owen Drive Surgical Clinic Of Fayetteville PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Florias Morfesis, MD

General Surgery

NPI 1023030004

513 OWEN DR
Fayetteville, NC 28304

(910) 323-0101

✔ PECOS✔ Accepts MedicareSame address

Kelly Van Fossen, D.O.

General Surgery

NPI 1396957429

4140 FERNCREEK DR STE 601
Fayetteville, NC 28314

(910) 485-3880

✔ PECOS✔ Accepts Medicare0.8 mi

Dominic Storto, DO

General Surgery

NPI 1013975721

2934 N ELM ST STE E
Lumberton, NC 28358

(919) 739-0022

✔ PECOS✔ Accepts Medicare28 mi

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

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 Owen Drive Surgical Clinic Of Fayetteville PLLC's NPI number?

The NPI number for Owen Drive Surgical Clinic Of Fayetteville PLLC is 1598841868. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Owen Drive Surgical Clinic Of Fayetteville PLLC located?

Owen Drive Surgical Clinic Of Fayetteville PLLC is located at 513 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 323-0101.

What is Owen Drive Surgical Clinic Of Fayetteville PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Owen Drive Surgical Clinic Of Fayetteville PLLC enrolled in Medicare?

Yes. Owen Drive Surgical Clinic Of Fayetteville PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Owen Drive Surgical Clinic Of Fayetteville PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in General Surgery, reassign their Medicare billing to Owen Drive Surgical Clinic Of Fayetteville PLLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Owen Drive Surgical Clinic Of Fayetteville PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Owen Drive Surgical Clinic Of Fayetteville PLLC 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 Owen Drive Surgical Clinic Of Fayetteville PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.