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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LOUIS PUPPO M.D.
NPI 1699802942
Pediatrics in Forest City, NC

Active since February 27, 2007PECOS Enrolled
162 COMMERCIAL DR, FOREST CITY, NC 28043(828) 287-9325(828) 287-3594 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Nov 1, 2018 (2 updates tracked since 2018).

About Louis Puppo M.d. NPPES

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

LOUIS PUPPO M.D. (NPI 1699802942) is an individual pediatrics provider in Forest City, North Carolina, licensed in North Carolina (2021-03350) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699802942
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLOUIS PUPPOCredential: M.D.
Location Address162 COMMERCIAL DRForest City, NC 28043-2801
Mailing Address162 Commercial DrForest City, NC 28043-2801 · (828) 287-9325 · Fax (828) 287-3594
Phone(828) 287-9325
Fax(828) 287-3594
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1699802942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2021-03350
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
162 COMMERCIAL DR, Forest City, NC 28043
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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 (PECOS)

Louis Puppo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Louis Puppo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dlp Rutherford Physician Practices LLC
Same address
Rural Health
162 COMMERCIAL DR STE B
Forest City, NC 28043
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
NPI 1912684473 (828) 287-9325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28043 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.

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 Louis Puppo's NPI number?

The NPI number for Louis Puppo is 1699802942. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Louis Puppo located?

Louis Puppo practices at 162 Commercial Dr, Forest City, NC 28043. The listed phone number is (828) 287-9325.

What is Louis Puppo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Louis Puppo enrolled in Medicare?

Yes. Louis Puppo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Louis Puppo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Puppo reassigns Medicare benefits to Dlp Rutherford Physician Practices LLC (Forest City, 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 Louis Puppo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Louis Puppo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Louis Puppo 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.

When was this NPI record last updated?

The NPPES record for Louis Puppo was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.