DR. JOHN P VAVALLE M.D.
NPI 1639395056
Internal Medicine - Interventional Cardiology in Chapel Hill, NC

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
101 MANNING DR, RM 1107G W WING, CHAPEL HILL, NC 27599(919) 966-4996(919) 843-5515 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John P Vavalle M.d. NPPES

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

DR. JOHN P VAVALLE M.D. (NPI 1639395056) is an individual interventional cardiology provider in Chapel Hill, North Carolina, licensed in North Carolina (2007-00578) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2004).

NPPES Registry Identity

NPI1639395056
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. JOHN P VAVALLECredential: M.D.
Location Address101 MANNING DR, RM 1107G W WINGChapel Hill, NC 27599-0001
Mailing Address143 W Franklin StChapel Hill, NC 27516-2539 · (919) 966-4996 · Fax (919) 843-5515
Fax(919) 843-5515
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2004
Enumeration DateApril 17, 2007
Last NPPES UpdateJanuary 10, 2017
✔ NPI 1639395056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in NC · 2007-00578
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 200700578 (NC)
101 MANNING DR, Chapel Hill, NC 27599

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John P Vavalle 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 ID1850482241
PECOS Enrollment IDI20070814000894
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Vavalle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
Physician Assistant
2460 CURTIS ELLIS DRIVE
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 205 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 9

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.
93 services78 patients
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.
52 services45 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.
43 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services13 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
32 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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.

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.

Physical Therapist
101 MANNING DR
CHAPEL HILL, NC 27599
Psychiatry & Neurology (Psychiatry)
101 MANNING DR
CHAPEL HILL, NC 27599
Orthopaedic Surgery
101 MANNING DR
CHAPEL HILL, NC 27599
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27599
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, ND 27599
Pathology (Clinical Pathology/Laboratory Medicine)
101 MANNING DR
CHAPEL HILL, NC 27599
Psychologist (Clinical)
101 MANNING DR
CHAPEL HILL, NC 27599
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27599

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 John Vavalle's NPI number?

The NPI number for John Vavalle is 1639395056. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is John Vavalle located?

John Vavalle practices at 101 Manning Dr Rm 1107G W Wing, Chapel Hill, NC 27599. The listed phone number is (919) 966-4996.

What is John Vavalle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is John Vavalle enrolled in Medicare?

Yes. John Vavalle 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.

Which organizations bill Medicare for John Vavalle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Vavalle reassigns Medicare benefits to 2 organizations: University Of North Carolina At Chapel Hill (Chapel Hill, NC) and Nhcs Physicians Inc (Rocky Mount, NC). Each 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 John Vavalle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Vavalle accept?

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

According to CMS data, John Vavalle is affiliated with Unc Hospitals, Rex Hospital and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for John Vavalle was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.