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DR. NICHOLAS JOSEPH PLACENTRA JR. D.O.
NPI 1760493894
Family Medicine in Boone, NC

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
240 HIGHWAY 105 EXT STE 100, BOONE, NC 28607(828) 264-7311(828) 264-7907 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Nicholas Joseph Placentra Jr. D.o. NPPES

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

DR. NICHOLAS JOSEPH PLACENTRA JR. D.O. (NPI 1760493894) is an individual family medicine provider in Boone, North Carolina, licensed in North Carolina (9600685) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1760493894
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLAS JOSEPH PLACENTRA JR.Credential: D.O.
Location Address240 HIGHWAY 105 EXT STE 100Boone, NC 28607-4291
Mailing AddressPo Box 1490Boone, NC 28607-1490
Phone(828) 264-7311
Fax(828) 264-7907
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1985
Enumeration DateAugust 11, 2006
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1760493894 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 · 9600685
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.
240 HIGHWAY 105 EXT STE 100, Boone, NC 28607
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11925 N Bridge St Ste 101Elkin, NC 28621-2105 · Phone (336) 835-7337
Location 2560 Malcolm BlvdConnelly Springs, NC 28612-7918 · Phone (828) 874-2061
Location 3935 State Farm RdBoone, NC 28607-4948 · Phone (828) 262-3886
Location 4448 Cranberry StNewland, NC 28657-8800 · Phone (828) 737-0221
Location 5301 E Meeting St Ste 101Morganton, NC 28655-3594 · Phone (828) 608-0800

Other Identifiers 2

Medicaid891033XNC
Medicaid89014XXNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Nicholas Joseph Placentra Jr. D.o. 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 ID7012803075
PECOS Enrollment IDI20040226000748
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 4

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.

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.
38 services32 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
15 services15 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.
13 services12 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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 18

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 suppliers54 claims124 services$5.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims26 services$1.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$43.64 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers20 claims20 services$105.31 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers20 claims47 services$41.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers12 claims52 services$25.64 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 15

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

SAMANTHA SILAR
Social Worker (Clinical)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311
MRS. JESSICA NICOLE NULL FNP
Nurse Practitioner (Family)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311
SARA CLARK LCSWA
Social Worker (Clinical)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311
COURTNEY VEGA
Counselor (Mental Health)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311
HIGH COUNTRY COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311
MR. PAUL JOSEPH DAOUST JR. L.P.C.
Counselor (Professional)
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311
DR. AUSTIN B-R COMBS PH.D.
Psychologist
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311
VOJANA KARAN PA-C
Physician Assistant
240 HIGHWAY 105 EXT STE 100
BOONE, NC 28607
Watauga County (828) 264-7311

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 Nicholas Placentra's NPI number?

The NPI number for Nicholas Placentra is 1760493894. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Nicholas Placentra located?

Nicholas Placentra practices at 240 Highway 105 Ext Ste 100, Boone, NC 28607. The listed phone number is (828) 264-7311.

What is Nicholas Placentra's specialty?

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

Is Nicholas Placentra enrolled in Medicare?

Yes. Nicholas Placentra 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 Nicholas Placentra accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Nicholas Placentra 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 Nicholas Placentra affiliated with any hospitals?

According to CMS data, Nicholas Placentra is affiliated with Watauga Medical Center and Charles A Cannon Jr Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Placentra was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.