CARL JON BUCHHOLZ MD
NPI 1629631908
Surgery in Mount Airy, NC

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
1016 S SOUTH ST, MOUNT AIRY, NC 27030(336) 783-8900(336) 786-3778 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Apr 22, 2019 (2 updates tracked since 2019).

About Carl Jon Buchholz Md NPPES

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

CARL JON BUCHHOLZ MD (NPI 1629631908) is an individual surgery provider in Mount Airy, North Carolina, licensed in North Carolina (2024-01440) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1629631908
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCARL JON BUCHHOLZCredential: MD
Location Address1016 S SOUTH STMount Airy, NC 27030-5330
Mailing AddressPo Box 1267Mount Airy, NC 27030-1267 · (480) 322-5787 · Fax (336) 786-3752
Fax(336) 786-3778
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1629631908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 2024-01440
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.
1016 S SOUTH ST, Mount Airy, NC 27030

Secondary Practice Location 1

Location 11906 Belleview Ave SERoanoke, VA 24014-1838 · Phone (540) 981-7000

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

Carl Jon Buchholz Md 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 ID1658606637
PECOS Enrollment IDI20240809002048
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 2

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.

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.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 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.

Other Providers at the Same Location NPPES 15

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

Family Medicine
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Family Medicine
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Internal Medicine (Gastroenterology)
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Urology
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Family Medicine
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Urology
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Internal Medicine (Gastroenterology)
1016 S SOUTH ST
MOUNT AIRY, NC 27030
Nurse Practitioner
1016 S SOUTH ST
MOUNT AIRY, NC 27030

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 Carl Buchholz's NPI number?

The NPI number for Carl Buchholz is 1629631908. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Carl Buchholz located?

Carl Buchholz practices at 1016 S South St, Mount Airy, NC 27030. The listed phone number is (336) 783-8900.

What is Carl Buchholz's specialty?

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

Is Carl Buchholz enrolled in Medicare?

Yes. Carl Buchholz 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 Carl Buchholz accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Carl Buchholz 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 Carl Buchholz affiliated with any hospitals?

According to CMS data, Carl Buchholz is affiliated with Northern Regional Hospital and Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Buchholz was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.