MARTHA C WELCH MD
NPI 1750503140
Family Medicine - Adult Medicine in Greenville, NC

NPI Status: Active since May 03, 2007

Contact Information

1711 E ARLINGTON BLVD
PHYSICIANS EAST, P.A.
GREENVILLE, NC
ZIP 27858
Phone: (252) 355-4357
Fax: (252) 355-4187

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Family Medicine
Adult Medicine
Accepts Insurance
PECOS Enrolled

About MARTHA WELCH

This page provides the complete NPI Profile along with additional information for Martha Welch, a primary care provider established in Greenville, North Carolina with a medical specialization in Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1750503140 assigned on May 2007. The practitioner's primary taxonomy code is 207QA0505X with license number 2009-01583 (NC). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI: 1750503140
Provider Name: MARTHA C WELCH MD
Gender: Female
Entity Type: Individual
Location Address: 1711 E ARLINGTON BLVD PHYSICIANS EAST, P.A. GREENVILLE, NC 27858
Location Phone: (252) 355-4357
Location Fax: (252) 355-4187
Mailing Address: 1850 W ARLINGTON BLVD PHYSICIANS EAST GREENVILLE, NC 27834
Mailing Phone: (252) 413-6740
Mailing Fax: (252) 355-4187
Is Sole Proprietor?: No
Enumeration Date: 05-03-2007
Last Update Date: 09-19-2016
Code Navigator

A primary care provider (PCP) like Martha Welch sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine Adult Medicine
Taxonomy Code: 207QA0505X
Type: Allopathic & Osteopathic Physicians
License No.: 2009-01583
License State: NC
Taxonomy Description: The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Cigna Healthcare

Connect Bronze 5500 Indiv Med Deductible - HMO
Connect Bronze 6500 Indiv Med Deductible - HMO
Connect Bronze CMS Standard - HMO
Connect Gold CMS Standard - HMO
Connect Silver 3500 Indiv Med Deductible - HMO
Connect Silver 4400 Indiv Med Deductible - HMO
Connect Silver CMS Standard - HMO

Blue Cross Blue Shield

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1561Y	OTHER (01)	NC	BCBSNC
5913640	MEDICAID (05)	NC
NC17230280	MEDICARE PIN (08)	NC

Medicare Participation & PECOS Enrollment Status

Martha Welch is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27858 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $83.9
Minimum New Patient Price $54.12
Maximum New Patient Price $165.09

Average New Patient Copayment $20.97
Minimum New Patient Copayment $13.53
Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $95.94
Minimum Established Patient Price $17.21
Maximum Established Patient Price $134.61

Average Established Patient Copayment $23.98
Minimum Established Patient Copayment $4.3
Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	5	0	3	1	4	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	10	0	6	1	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 6 + 1 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1750503140 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.