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DONALD K HUFFMAN DO
NPI 1689201691
Family Medicine in Jefferson, NC

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
85.68/100
CMS Quality Rating
200 HOSPITAL AVE, JEFFERSON, NC 28640(336) 846-7433 Get Directions Write a Review

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

Record update history: Oct 19, 2023, Mar 27, 2020 (2 updates tracked since 2020).

About Donald K Huffman Do NPPES

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

DONALD K HUFFMAN DO (NPI 1689201691) is an individual family medicine provider in Jefferson, North Carolina, licensed in Tennessee (4956) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Wilkes Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689201691
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD K HUFFMANCredential: DO
Location Address200 HOSPITAL AVEJefferson, NC 28640-9244
Mailing Address200 Hospital AveJefferson, NC 28640-9244
Phone(336) 846-7433
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1689201691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 4956
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 HOSPITAL AVE, Jefferson, NC 28640
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050
Location 2917 W Walnut StJohnson City, TN 37604-6527 · Phone (423) 439-6464
Location 3102 E Ravine RdKingsport, TN 37660-3814 · Phone (423) 245-9600

Other Identifiers 1

MedicaidQ058354TN

Accepted Insurance

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

Donald K Huffman Do 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 ID7810312410
PECOS Enrollment IDI20231101002560, I20231212001445
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 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.
358 services204 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.
332 services221 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
177 services177 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
55 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
54 services54 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
49 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340064
Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County
Emergency services Birthing friendly

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341325
Location200 Hospital AveJefferson, NC 28640 · Ashe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28640 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
$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.

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.

85.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.68
Promoting Interoperability66
Improvement Activities40

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.

KATHERINE A AVERILL MD
Obstetrics & Gynecology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
HIGH COUNTRY FAMILY MEDICINE, PA
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Ashe County (336) 846-7238
SHARON PATRICIA DILLEY MD
Internal Medicine
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
DR. JOHN ALVAR SUNDIN M.D.
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 846-8939
DR. RONALD WILLIAM BENFIELD MD
Orthopaedic Surgery
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
MOUNT JEFFERSON FAMILY MEDICINE, P.A.
Family Medicine
200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640
Ashe County (336) 846-7433
ASHE MEMORIAL HOSPITAL INC
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
CHARLES W JONES MD PA ENDOSCOPY SUITE
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 246-7779

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 Donald Huffman's NPI number?

The NPI number for Donald Huffman is 1689201691. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Donald Huffman located?

Donald Huffman practices at 200 Hospital Ave, Jefferson, NC 28640. The listed phone number is (336) 846-7433.

What is Donald Huffman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donald Huffman enrolled in Medicare?

Yes. Donald Huffman 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 Donald Huffman accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee and UnitedHealthcare list Donald Huffman 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 Donald Huffman affiliated with any hospitals?

According to CMS data, Donald Huffman is affiliated with Wilkes Regional Medical Center and Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Huffman was last updated on January 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.