MICHELE POLIDORO MD
NPI 1780652909
Obstetrics & Gynecology in Bolivia, NC

Q: What is Michele Polidoro's NPI number?

The NPI number for Michele Polidoro is 1780652909. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Michele Polidoro's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Polidoro was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 14, 2006PECOS Enrolled

584 HOSPITAL DR NE UNIT B, BOLIVIA, NC 28422(910) 721-4050(910) 721-4051 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2024, Oct 25, 2020, Mar 12, 2020 and 1 more (4 updates tracked since 2017).

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About Michele Polidoro Md NPPES

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

MICHELE POLIDORO MD (NPI 1780652909) is an individual obstetrics & gynecology provider in Bolivia, North Carolina, licensed in North Carolina (200800806) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1780652909

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMICHELE POLIDOROCredential: MD

Location Address584 HOSPITAL DR NE UNIT BBolivia, NC 28422-0020

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4050 · Fax (910) 721-4051

Phone(910) 721-4050

Fax(910) 721-4051

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateAugust 19, 20244 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1780652909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 200800806

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

584 HOSPITAL DR NE UNIT B, Bolivia, NC 28422

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Secondary Practice Location 1

Location 1108 W Medical Park DrLexington, NC 27292-6773 · Phone (336) 243-7054 · Fax (336) 243-2302

Other Identifiers 18

Other10119Anthem

Other6431110003Cigna Hmo

Other113510097Aarp

Other910931Ivr Acc Code

OtherAA01072Mdny

Other6431110006Cigna Senior

Other1049966Empire

Other33D0967171Clia

Other113510097Magnacare

Other113510097Local 1199

Other113510097Iec Benefit Administrator

Other200921Ghi

Other2022373ANC · Medicare Ptan, Individual For Wilkes

Other38H991Bcbs

OtherMP0427139Malpractice Policy

Other113510097Island Group Administrato

Other113510097First Health

Other2504Independent Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Polidoro Md 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 Michele Polidoro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group LLC

Same address

Obstetrics & Gynecology

584 HOSPITAL DR NE UNIT B
Bolivia, NC 28422

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1205884970 (910) 721-4050

Outerbanks Professional Services LLC

196 mi

Family Medicine

604 AMANDA ST
Manteo, NC 27954

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Outer Banks Professional Services, LLC
346 clinicians in this Medicare group

NPI 1457686891 (252) 473-3478

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28422 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

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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 12

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

STEVEN CHRISTOPHER NUNNS M.D.

Obstetrics & Gynecology