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DR. ALFRED DOUGLAS EARWOOD MD
NPI 1699760959
Family Medicine in Banner Elk, NC

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
150 PARK AVE, BANNER ELK, NC 28604(828) 898-5177(828) 898-8306 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alfred Douglas Earwood Md NPPES

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

DR. ALFRED DOUGLAS EARWOOD MD (NPI 1699760959) is an individual family medicine provider in Banner Elk, North Carolina, licensed in North Carolina (33815) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Brody School Of Medicine At East Carolina University (1988).

NPPES Registry Identity

NPI1699760959
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALFRED DOUGLAS EARWOODCredential: MD
Location Address150 PARK AVEBanner Elk, NC 28604-6604
Mailing AddressPo Box 1568Banner Elk, NC 28604-1568 · (828) 898-5177 · Fax (828) 898-8306
Phone(828) 898-5177
Fax(828) 898-8306
Sole ProprietorYes
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1988
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJune 7, 2011
✔ NPI 1699760959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 33815
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.
150 PARK AVE, Banner Elk, NC 28604
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Other Identifiers 8

Other29876NC · Nc Bluecrossblueshield
Medicare UPINE39259NC
Medicaid4406013TN
Other178522TN · Tn Bluecross & Tenncare
Medicare ID-Type Unspecified2160979ANC · Nc Medicare
Medicaid8929876NC
Other110094760NC · Nc Railroad Medicare
Medicare ID-Type Unspecified3885943TN · Tn Medicare

Accepted Insurance

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

Dr. Alfred Douglas Earwood 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 ID6901994904
PECOS Enrollment IDI20071108000231
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.
301 services164 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.
170 services115 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
69 services44 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
48 services30 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.
26 services20 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28604 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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers41 claims116 services$4.67 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers15 claims15 services$2.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims38 services$0.79 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers15 claims15 services$45.41 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$60.65 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims65 services$2.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID PAUL KIMMEL MD
Internal Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5177
CHARLES A CANNON JR MEMORIAL HOSPITAL, INC.
Clinic/Center (Rural Health)
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5178
ELK RIVER MEDICAL ASSOCIATES, PA
Clinic/Center (Multi-Specialty)
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5177
APPALACHIAN REGIONAL MEDICAL ASSOCIATES
Family Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 262-9127

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 Alfred Earwood's NPI number?

The NPI number for Alfred Earwood is 1699760959. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Alfred Earwood located?

Alfred Earwood practices at 150 Park Ave, Banner Elk, NC 28604. The listed phone number is (828) 898-5177.

What is Alfred Earwood's specialty?

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

Is Alfred Earwood enrolled in Medicare?

Yes. Alfred Earwood 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 Alfred Earwood accept?

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

According to CMS data, Alfred Earwood is affiliated with Watauga Medical Center and Charles A Cannon Jr Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alfred Earwood was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.