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CAROLINE WHITE MARSHBURN
NPI 1699239277
Physician Assistant in Wilmington, NC

Active since January 28, 2019PECOS EnrolledAccepts Medicare Assignment
84.31/100
CMS Quality Rating
2208 S 17TH ST, WILMINGTON, NC 28401(910) 763-3333(910) 763-3336 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2022, Jan 28, 2019 (2 updates tracked since 2019).

About Caroline White Marshburn NPPES

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

CAROLINE WHITE MARSHBURN (NPI 1699239277) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (0010-08762) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699239277
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLINE WHITE MARSHBURN
Location Address2208 S 17TH STWilmington, NC 28401-7593
Mailing Address3630 Detrick Dr Unit 103Raleigh, NC 27609-7086
Phone(910) 763-3333
Fax(910) 763-3336
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 28, 2019
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1699239277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-08762
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2208 S 17TH ST, Wilmington, NC 28401
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Accepted Insurance

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

Caroline White Marshburn 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 ID3173864667
PECOS Enrollment IDI20190410001671
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 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 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.
179 services150 patients
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.
89 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services61 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.
69 services69 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.
42 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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.

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.

84.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.55
Improvement Activities40

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.

ANNA BETH SPARKS DEATON PA
Physician Assistant
2208 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 763-3333
JACK LLORRAC BAGLEY PA-C
Physician Assistant
2208 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 763-3333
PEACOCK-BETTENDORF, LLC
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
2208 S 17TH ST, SECOND FLOOR
WILMINGTON, NC 28401
New Hanover County (910) 251-6755
CATHERINE REBECCA ZIMEL PA C
Physician Assistant
2208 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 763-3333
REID CHRISTIAN GILBERT-VASS PHYSICIAN ASSISTANT
Physician Assistant
2208 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 763-3333
ROBIN RHYNE MCLAWHORN FNP
Nurse Practitioner (Family)
2208 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 763-3333
ATLANTIC BRAIN AND SPINE, P.A.
Specialist
2208 S 17TH ST, SUITE 201
WILMINGTON, NC 28401
New Hanover County (910) 763-3333
AUSTIN ROBERT PIPPIN PA
Physician Assistant
2208 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 763-3333

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 Caroline Marshburn's NPI number?

The NPI number for Caroline Marshburn is 1699239277. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Caroline Marshburn located?

Caroline Marshburn practices at 2208 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 763-3333.

What is Caroline Marshburn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Caroline Marshburn enrolled in Medicare?

Yes. Caroline Marshburn 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 Caroline Marshburn accept?

Health plans from Blue Cross and Blue Shield of NC list Caroline Marshburn 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 Caroline Marshburn affiliated with any hospitals?

According to CMS data, Caroline Marshburn is affiliated with Cape Fear Valley Medical Center, Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center, Pender Memorial Hospital and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Caroline Marshburn was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.