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DR. KEVIN DAVID WELLBAUM M.D.
NPI 1790049641
Pediatrics in Mooresville, NC

Active since June 26, 2012PECOS Enrolled
133 WELTON WAY STE C, MOORESVILLE, NC 28117(704) 664-2552(704) 664-5382 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Oct 25, 2020, Jun 14, 2019 and 3 more (6 updates tracked since 2015).

About Dr. Kevin David Wellbaum M.d. NPPES

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

DR. KEVIN DAVID WELLBAUM M.D. (NPI 1790049641) is an individual pediatrics provider in Mooresville, North Carolina, licensed in North Carolina (2016-01403) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mooresville.

NPPES Registry Identity

NPI1790049641
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KEVIN DAVID WELLBAUMCredential: M.D.
Location Address133 WELTON WAY STE CMooresville, NC 28117-9163
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Phone(704) 664-2552
Fax(704) 664-5382
Sole ProprietorNo
Enumeration DateJune 26, 2012
Last NPPES UpdateNovember 13, 20256 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1790049641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2016-01403✔ Licensed in GA · 5536✔ Licensed in GA · 074135
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
133 WELTON WAY STE C, Mooresville, NC 28117
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Secondary Practice Location 1

Location 1656 Carpenter AveMooresville, NC 28115-2538 · Phone (704) 664-5133 · Fax (704) 660-0406

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin David Wellbaum 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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 2

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

GIANNA DEMOS MADRID M.D.
Pediatrics
133 WELTON WAY STE C
MOORESVILLE, NC 28117
Iredell County (704) 664-2552
TERRI LYNN SANCHEZ
Nurse Practitioner
133 WELTON WAY STE C
MOORESVILLE, NC 28117
Iredell County (704) 664-2552

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 Kevin Wellbaum's NPI number?

The NPI number for Kevin Wellbaum is 1790049641. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Kevin Wellbaum located?

Kevin Wellbaum practices at 133 Welton Way Ste C, Mooresville, NC 28117. The listed phone number is (704) 664-2552.

What is Kevin Wellbaum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kevin Wellbaum enrolled in Medicare?

Yes. Kevin Wellbaum is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Wellbaum accept?

Health plans from Blue Cross and Blue Shield of NC list Kevin Wellbaum 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.

When was this NPI record last updated?

The NPPES record for Kevin Wellbaum was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.