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DR. APRIL ELAINE COTTON MD
NPI 1710922398
Family Medicine in Hudson, NC

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
270 PINE MOUNTAIN RD, SUITE 2, HUDSON, NC 28638(828) 757-6330(828) 757-6349 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Dec 29, 2016 (2 updates tracked since 2016).

About Dr. April Elaine Cotton Md NPPES

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

DR. APRIL ELAINE COTTON MD (NPI 1710922398) is an individual family medicine provider in Hudson, North Carolina, licensed in North Carolina (2007-01798) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (1996).

NPPES Registry Identity

NPI1710922398
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. APRIL ELAINE COTTONCredential: MD
Location Address270 PINE MOUNTAIN RD, SUITE 2Hudson, NC 28638-2605
Mailing Address321 Mulberry St Sw, Medical Staff ServicesLenoir, NC 28645-5720 · (828) 757-5965 · Fax (828) 757-5104
Phone(828) 757-6330
Fax(828) 757-6349
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1996
Enumeration DateJune 18, 2006
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1710922398 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 · 2007-01798
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.
270 PINE MOUNTAIN RD, Hudson, NC 28638
Open in Google Maps ↗

Other Identifiers 3

Other148A2NC · Bcbsnc
Medicaid5909277NC
Other2007-01798NC · Medical License

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. April Elaine Cotton 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 ID1456423631
PECOS Enrollment IDI20080703000026
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 7

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.
460 services175 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.
61 services48 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.
50 services50 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services27 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28638 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.

Referred Medical Equipment & Supplies CMS DME claims 11

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
12 suppliers52 claims131 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers21 claims23 services$1.11 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers18 claims35 services$1.04 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier12 claims12 services$0.74 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$6.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$88.27 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 8

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

CALDWELL MEMORIAL HOSPITAL, INC.
Internal Medicine (Sleep Medicine)
270 PINE MOUNTAIN RD, SUITE 5
HUDSON, NC 28638
Caldwell County (828) 757-8206
CALDWELL MEMORIAL HOSPITAL, INC.
Family Medicine
270 PINE MOUNTAIN RD, SUITE 2
HUDSON, NC 28638
Caldwell County (828) 757-6330
BROOKE ANDERSON BOST PA-C
Physician Assistant
270 PINE MOUNTAIN RD
HUDSON, NC 28638
Caldwell County (828) 757-8206
MICHAEL R LEWIS,MD
Clinic/Center (Primary Care)
270 PINE MOUNTAIN RD
HUDSON, NC 28638
Caldwell County (828) 728-4875
CALDWELL MEMORIAL HOSPITAL, INC.
Preventive Medicine (Occupational Medicine)
270 PINE MOUNTAIN RD, SUITE 3
HUDSON, NC 28638
Caldwell County (828) 757-6330
SALLY MAE BAIRD NP-C
Nurse Practitioner (Family)
270 PINE MOUNTAIN RD, SUITE 2
HUDSON, NC 28638
Caldwell County (828) 757-6330
KRISTY LOFTIS FNP-BC
Nurse Practitioner (Family)
270 PINE MOUNTAIN RD
HUDSON, NC 28638
Caldwell County (828) 757-6330
COMMUNITY PHARMACY
Pharmacy (Community/Retail Pharmacy)
270 PINE MOUNTAIN RD
HUDSON, NC 28638
Caldwell County (828) 757-8240

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 April Cotton's NPI number?

The NPI number for April Cotton is 1710922398. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is April Cotton located?

April Cotton practices at 270 Pine Mountain Rd Suite 2, Hudson, NC 28638. The listed phone number is (828) 757-6330.

What is April Cotton's specialty?

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

Is April Cotton enrolled in Medicare?

Yes. April Cotton 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 April Cotton accept?

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

According to CMS data, April Cotton is affiliated with Caldwell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for April Cotton was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.