VERN ARTHUR METCALF MD
NPI 1720081128
Internal Medicine in Nags Head, NC

Q: What is Vern Metcalf's NPI number?

The NPI number for Vern Metcalf is 1720081128. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Vern Metcalf's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Vern Metcalf was last updated on September 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

4810 S CROATAN HWY, STE 100, NAGS HEAD, NC 27959(252) 449-7373(252) 449-7371 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Vern Arthur Metcalf Md NPPES

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

VERN ARTHUR METCALF MD (NPI 1720081128) is an individual internal medicine provider in Nags Head, North Carolina, licensed in North Carolina (9900948) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1720081128

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameVERN ARTHUR METCALFCredential: MD

Location Address4810 S CROATAN HWY, STE 100Nags Head, NC 27959-8504

Mailing Address4810 S Croatan Hwy, Ste 100Nags Head, NC 27959-8504 · (252) 449-7373 · Fax (252) 449-7371

Phone(252) 449-7373

Fax(252) 449-7371

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 31, 2005

Last NPPES UpdateSeptember 24, 2009

✔ NPI 1720081128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 9900948

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4810 S CROATAN HWY, Nags Head, NC 27959

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Other Identifiers 3

Medicare UPINH01455

Medicaid891243RNC

Medicare PIN2278476BNC

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

Vern Arthur Metcalf 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 ID1052302544

PECOS Enrollment IDI20040522000193

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 14

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.

1,290 services552 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.

321 services321 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.

173 services126 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.

158 services116 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

134 services132 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.

80 services59 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

48 services17 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

35 services35 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

31 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

18 services18 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

17 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340109

Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County

Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341324

Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County

Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490057

Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County

Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490119

Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27959 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.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

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 suppliers48 claims115 services$5.45 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers29 claims33 services$0.97 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers11 claims31 services$37.35 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers11 claims11 services$21.28 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers11 claims11 services$19.91 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers15 claims90 services$2.54 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 9

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

CHRISTINE M HERDE MD

Obstetrics & Gynecology (Obstetrics)

4810 S CROATAN HWY
NAGS HEAD, NC 27959

Dare County (252) 261-4885

ANNA B OPREA PA-C

Physician Assistant

4810 S CROATAN HWY, SUITE 250
NAGS HEAD, NC 27959

Dare County (252) 261-4885

OUTER BANKS HEMATOLOGY ONCOLOGY PA

Internal Medicine (Hematology & Oncology)

4810 S CROATAN HWY, SUITE 120
NAGS HEAD, NC 27959

Dare County (252) 480-4699

DANIEL PATRICK DWYER MD

Obstetrics & Gynecology

4810 S CROATAN HWY, STE 250
NAGS HEAD, NC 27959

Dare County (252) 261-4885

GEORGIA A DRUMHELLER MD

Pediatrics

4810 S CROATAN HWY, SUITE 100
NAGS HEAD, NC 27959

Dare County (252) 449-7373

KIMBERLY CLEMENTS CEASER PA-C

Physician Assistant

4810 S CROATAN HWY, SUITE 110
NAGS HEAD, NC 27959

Dare County (252) 441-2444

MR. DAVID STUART THOMPSON MD

Pediatrics

4810 S CROATAN HWY, STE 100
NAGS HEAD, NC 27959

Dare County (252) 449-7373

JAMES CORBITT WOODSON D.D.S.

Dentist (General Practice)

4810 S CROATAN HWY, SUITE 270
NAGS HEAD, NC 27959

Dare County (252) 441-1319

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 Vern Metcalf's NPI number?

The NPI number for Vern Metcalf is 1720081128. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Vern Metcalf located?

Vern Metcalf practices at 4810 S Croatan Hwy Ste 100, Nags Head, NC 27959. The listed phone number is (252) 449-7373.

What is Vern Metcalf's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vern Metcalf enrolled in Medicare?

Yes. Vern Metcalf 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 Vern Metcalf accept?

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

According to CMS data, Vern Metcalf is affiliated with Sentara Albemarle Medical Center, The Outer Banks Hospital, Inc, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Vern Metcalf was last updated on September 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.