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BETTY ZHAO M.D.
NPI 1679984835
Internal Medicine in Durham, NC

Active since May 09, 2014PECOS EnrolledAccepts Medicare Assignment
2301 ERWIN RD, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Betty Zhao M.d. NPPES

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

BETTY ZHAO M.D. (NPI 1679984835) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (2017-00438) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Michigan Medical School (2014).

NPPES Registry Identity

NPI1679984835
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBETTY ZHAOCredential: M.D.
Location Address2301 ERWIN RDDurham, NC 27710-5000
Mailing Address40 Medicine Circle, 1151 Duke South, Yellow Zone, Box 3534Durham, NC 27710
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2014
Enumeration DateMay 9, 2014
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1679984835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2017-00438
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2301 ERWIN RD, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Betty Zhao 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 ID547560146
PECOS Enrollment IDI20170717000795
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 Betty Zhao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.
0.3 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855
Duke University Health System, Inc.
3.0 mi
Internal Medicine
3643 N ROXBORO ST
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,482 clinicians in this Medicare group
NPI 1376574798 (919) 470-8490

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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services64 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 services37 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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.

CANDICE MARLOW RAY M.D.
Pediatrics (Pediatric Critical Care Medicine)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
AMY KATHERINE TALLY PT, DPT
Physical Therapist
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
MRS. ALICIA HISCOX PARISI RN, NNP-BC
Nurse Practitioner (Neonatal)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 681-3501
DR. NICHOLAS PARRISH M.D.
Surgery
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 613-6133
DR. LARRY RONALD JACKSON II M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 970-6972
ERIN P BROUSH NNP-BC
Nurse Practitioner (Neonatal)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 681-5551
DAVID SLADE M.D.
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 970-8293
DR. KEVIN CARL GENGEL M.D.
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-1111

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 Betty Zhao's NPI number?

The NPI number for Betty Zhao is 1679984835. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Betty Zhao located?

Betty Zhao practices at 2301 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Betty Zhao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Betty Zhao enrolled in Medicare?

Yes. Betty Zhao 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 Betty Zhao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betty Zhao reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Durham, NC) and Duke University Health System, Inc. (Durham, 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 Betty Zhao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betty Zhao accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Betty Zhao 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 Betty Zhao affiliated with any hospitals?

According to CMS data, Betty Zhao is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Betty Zhao was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.