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PHELICIA A. CUTHBERTSON MD
NPI 1659357879
Obstetrics & Gynecology in Raleigh, NC

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
4414 LAKE BOONE TRL, SUITE 210, RALEIGH, NC 27607(919) 571-1040(919) 781-0247 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phelicia A. Cuthbertson Md NPPES

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

PHELICIA A. CUTHBERTSON MD (NPI 1659357879) is an individual obstetrics & gynecology provider in Raleigh, North Carolina, licensed in North Carolina (2005-00980) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1659357879
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePHELICIA A. CUTHBERTSONCredential: MD
Location Address4414 LAKE BOONE TRL, SUITE 210Raleigh, NC 27607-7513
Mailing Address4414 Lake Boone Trl, Suite 210Raleigh, NC 27607-7513 · (919) 571-1040 · Fax (919) 781-0247
Phone(919) 571-1040
Fax(919) 781-0247
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 20, 2005
Last NPPES UpdateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1659357879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 2005-00980
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4414 LAKE BOONE TRL, Raleigh, NC 27607
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Other Identifiers 2

Other140WCNC · Bcbs Provider Number
Medicaid5901787NC

Accepted Insurance

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

Phelicia A. Cuthbertson 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 ID8426079286
PECOS Enrollment IDI20051208000680
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 Reassignment

Medicare enrollment records show Phelicia Cuthbertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uwh Of The Carolinas, PLLC
7.2 mi
Obstetrics & Gynecology
200 PERIMETER PARK DR STE B
Morrisville, NC 27560
  • Reassigned Medicare billing, North Carolina enrollment
  • 413 clinicians in this Medicare group
NPI 1639506470 (919) 334-0150

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 5

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 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.
63 services56 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
22 services22 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
22 services22 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$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.

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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
92%409 patients4/55-star benchmark: 93%
Cervical Cancer Screening
96%1,371 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
10%240 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
66%686 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%2,091 patients4/55-star benchmark: 100%
e-Prescribing
99%545 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%1,391 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%1,866 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 47% · 1,398 patients
46%1,398 patients
Provide Patients Electronic Access to Their Health Information
99%704 patients4/55-star benchmark: 100%
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.

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.

RALEIGH OB/GYN CENTRE, PA
Specialist
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 875-8225
DR. MYRA LYNN TEASLEY M.D.
Specialist
4414 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607
Wake County (919) 781-5510
SACHIN S MUDVARI MD
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL, SUITE 302
RALEIGH, NC 27607
Wake County (919) 782-8038
STOCKS SURGICAL CENTER, PLLC
Specialist
4414 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607
Wake County (919) 850-0880
ERIN C. BURNETTE NP
Nurse Practitioner (Family)
4414 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 781-5510
NORTH RALEIGH CARDIOVASCULAR DISEASES PA
Specialist
4414 LAKE BOONE TRL, SUITE 409
RALEIGH, NC 27607
Wake County (919) 790-0130
DR. JENIFER RAE BRISCOE-BRIMMAGE MD
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 876-8225
MR. JAMES GLENDON TRENNER P.A.-C
Physician Assistant (Medical)
4414 LAKE BOONE TRL, SUITE 502
RALEIGH, NC 27607
Wake County (919) 875-0539

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 Phelicia Cuthbertson's NPI number?

The NPI number for Phelicia Cuthbertson is 1659357879. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Phelicia Cuthbertson located?

Phelicia Cuthbertson practices at 4414 Lake Boone Trl Suite 210, Raleigh, NC 27607. The listed phone number is (919) 571-1040.

What is Phelicia Cuthbertson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Phelicia Cuthbertson enrolled in Medicare?

Yes. Phelicia Cuthbertson 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 organization bills Medicare for Phelicia Cuthbertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phelicia Cuthbertson reassigns Medicare benefits to Uwh Of The Carolinas, PLLC (Morrisville, NC). The 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 Phelicia Cuthbertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phelicia Cuthbertson accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Phelicia Cuthbertson 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 Phelicia Cuthbertson affiliated with any hospitals?

According to CMS data, Phelicia Cuthbertson is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Phelicia Cuthbertson was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.