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DR. HENRY JOSEPH VANPALA M.D.
NPI 1710241658
Internal Medicine - Gastroenterology in Raleigh, NC

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
4822 SIX FORKS RD, SUITE 104, RALEIGH, NC 27609(919) 795-1399(919) 821-5170 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henry Joseph Vanpala M.d. NPPES

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

DR. HENRY JOSEPH VANPALA M.D. (NPI 1710241658) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (28586) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Michigan State University College Of Human Medicine (1980).

NPPES Registry Identity

NPI1710241658
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HENRY JOSEPH VANPALACredential: M.D.
Location Address4822 SIX FORKS RD, SUITE 104Raleigh, NC 27609-5269
Mailing Address2500 Dunhaven DrGarner, NC 27529-5104 · (919) 795-1399 · Fax (919) 821-5170
Phone(919) 795-1399
Fax(919) 821-5170
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 1980
Enumeration DateJune 26, 2012
Last NPPES UpdateJune 24, 2014
✔ NPI 1710241658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NC · 28586✔ Licensed in GA · 005421✔ Licensed in SC · 35424✔ Licensed in VA · 010125463
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4822 SIX FORKS RD, Raleigh, NC 27609
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Other Names 1

Professional Name (2)Henry Joseph Vanpala M.d.

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. Henry Joseph Vanpala 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 ID7517191216
PECOS Enrollment IDI20140110001426, I20140110001464
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 3

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.
249 services127 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.
68 services68 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
77%843 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
52%163 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%5,292 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
88%1,024 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,225 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
62%2,262 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
50%2,195 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%2,262 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
89%2,262 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
90%2,262 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims66 services$2.21 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 13

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

EDWIN RUSSELL SWANN MD
Ophthalmology
4822 SIX FORKS RD, SUITE 104
RALEIGH, NC 27609
Wake County (919) 782-4933
MISS ANNIE JANE BUTLER LMBT
Massage Therapist
4822 SIX FORKS RD, 202
RALEIGH, NC 27609
Wake County (919) 788-1568
MARK E. NIEMCHAK, DC, PA
Chiropractor
4822 SIX FORKS RD, SUITE 104
RALEIGH, NC 27609
Wake County (919) 614-8555
VIRGINIA ANN BROWNING LAC, LMBT
Acupuncturist
4822 SIX FORKS RD, SUITE 202
RALEIGH, NC 27609
Wake County (919) 788-1568
LAURA LEE PEARSON
Massage Therapist
4822 SIX FORKS RD
RALEIGH, NC 27609
Wake County (919) 788-1568
REMEDY CLINIC, INC.
Acupuncturist
4822 SIX FORKS RD, 202
RALEIGH, NC 27609
Wake County (919) 788-1568
CAPITAL PHYSICAL MEDICINE
Chiropractor
4822 SIX FORKS RD, SUITE 202
RALEIGH, NC 27609
Wake County (919) 977-9555
MR. CLINTON WILLIAM BARTOK L.AC, DIPL.OM
Acupuncturist
4822 SIX FORKS RD, #202
RALEIGH, NC 27609
Wake County (919) 788-1568

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 Henry Vanpala's NPI number?

The NPI number for Henry Vanpala is 1710241658. It was assigned to this individual provider in the NPPES registry on June 26, 2012. The provider is also known as Henry Joseph Vanpala M.D..

Where is Henry Vanpala located?

Henry Vanpala practices at 4822 Six Forks Rd Suite 104, Raleigh, NC 27609. The listed phone number is (919) 795-1399.

What is Henry Vanpala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Henry Vanpala enrolled in Medicare?

Yes. Henry Vanpala 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.

Is Henry Vanpala affiliated with any hospitals?

According to CMS data, Henry Vanpala is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Henry Vanpala was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.