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DR. AMBROSE SUNDAY OKONKWO M.D.
NPI 1720011950
Family Medicine in Kinston, NC

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.6/100
CMS Quality Rating
2104 N HERRITAGE ST, KINSTON, NC 28501(252) 522-3663(252) 522-3660 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ambrose Sunday Okonkwo M.d. NPPES

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

DR. AMBROSE SUNDAY OKONKWO M.D. (NPI 1720011950) is an individual family medicine provider in Kinston, North Carolina, licensed in North Carolina (9900633) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and is a graduate of Virginia Commonwealth University, School Of Medicine (1994).

NPPES Registry Identity

NPI1720011950
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AMBROSE SUNDAY OKONKWOCredential: M.D.
Location Address2104 N HERRITAGE STKinston, NC 28501-2222
Mailing Address2104 N Herritage StKinston, NC 28501-2222 · (252) 522-3663 · Fax (252) 522-3660
Phone(252) 522-3663
Fax(252) 522-3660
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1994
Enumeration DateJuly 9, 2006
Last NPPES UpdateNovember 8, 2011
✔ NPI 1720011950 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 · 9900633
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.
2104 N HERRITAGE ST, Kinston, NC 28501
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Other Identifiers 3

Medicaid89126AGNC
Medicare UPING91900NC
Medicare PIN229770ANC

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

Dr. Ambrose Sunday Okonkwo 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 ID4486668316
PECOS Enrollment IDI20060131000460
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 10

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.
271 services88 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.
77 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services45 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.
61 services60 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.
57 services57 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.
40 services18 patients

Hospital Affiliations CMS Care Compare

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

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28501 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.

97.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.43
Improvement Activities40
Cost92.79

Reported Quality Measures

Breast Cancer Screening
62%382 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
47%727 patients2/55-star benchmark: 100%
Controlling High Blood Pressure
85%640 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
92%75 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%304 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
98%4,697 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%921 patients2/55-star benchmark: 100%
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 16

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
7 suppliers32 claims61 services$6.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims16 services$1.05 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier14 claims28 services$0.99 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
1 supplier11 claims22 services$0.27 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier13 claims13 services$0.68 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims393 services$2.70 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 2

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

MARGARET PETTEWAY SMALL P.T.
Physical Therapist
2104 N HERRITAGE ST
KINSTON, NC 28501
Lenoir County (252) 523-6506
KASSELT BONE AND JOINT CENTER, P.A.
Orthopaedic Surgery
2104 N HERRITAGE ST
KINSTON, NC 28501
Lenoir County (252) 523-6506

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 Ambrose Okonkwo's NPI number?

The NPI number for Ambrose Okonkwo is 1720011950. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Ambrose Okonkwo located?

Ambrose Okonkwo practices at 2104 N Herritage St, Kinston, NC 28501. The listed phone number is (252) 522-3663.

What is Ambrose Okonkwo's specialty?

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

Is Ambrose Okonkwo enrolled in Medicare?

Yes. Ambrose Okonkwo 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 Ambrose Okonkwo accept?

Health plans from Blue Cross and Blue Shield of NC list Ambrose Okonkwo 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 Ambrose Okonkwo affiliated with any hospitals?

According to CMS data, Ambrose Okonkwo is affiliated with Unc Lenoir Health Care.

When was this NPI record last updated?

The NPPES record for Ambrose Okonkwo was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.