DR. IAN WILLIAMSON STATEN M.D.
NPI 1780030437
Emergency Medicine in Fort Bragg, NC

Q: What is Ian Staten's NPI number?

The NPI number for Ian Staten is 1780030437. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Q: What is Ian Staten's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Staten was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 12, 2016PECOS Enrolled

2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2020, Jun 6, 2020, May 12, 2016 (3 updates tracked since 2016).

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About Dr. Ian Williamson Staten M.d. NPPES

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

DR. IAN WILLIAMSON STATEN M.D. (NPI 1780030437) is an individual emergency medicine provider in Fort Bragg, North Carolina, licensed in North Carolina (2019-01755) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1780030437

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. IAN WILLIAMSON STATENCredential: M.D.

Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001

Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069

Phone(910) 907-8922

Fax(910) 907-6069

Sole ProprietorNo

Enumeration DateMay 12, 2016

Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1780030437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 2019-01755

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

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Secondary Practice Location 1

Location 12300 Ramsey StFayetteville, NC 28301-3856 · Phone (910) 488-2120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ian Williamson Staten M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Ian Staten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vidant Medical Group LLC

77 mi

Ambulatory Surgical

701 DOCTORS DR STE N
Kinston, NC 28501

Reassigned Medicare billing, North Carolina enrollment
1,653 clinicians in this Medicare group

NPI 1376049619 (252) 559-2200

Emergency Coverage, LLC

248 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, North Carolina enrollment
557 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

83 services80 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.

31 services28 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services21 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 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.

Other Providers at the Same Location NPPES 20

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

JOSEPH CLAIR

Nurse Anesthetist, Certified Registered

2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

Cumberland County (910) 907-8922

CASEY TURNER PT, DPT

Physical Therapist

2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

Cumberland County (910) 907-6069

DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC

Physical Therapist (Sports)