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ANDREW DEMERITT STARK
NPI 1790408102
Physician Assistant in Greenville, NC

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
526 MOYE BLVD, GREENVILLE, NC 27834(252) 847-5755 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Oct 11, 2022, Sep 21, 2022 (3 updates tracked since 2022).

About Andrew Demeritt Stark NPPES

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

ANDREW DEMERITT STARK (NPI 1790408102) is an individual physician assistant in Greenville, North Carolina, licensed in North Carolina (0010-12630) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1790408102
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW DEMERITT STARK
Location Address526 MOYE BLVDGreenville, NC 27834-2848
Mailing Address2782 Red Lane RdPowhatan, VA 23139-5118 · (804) 332-0475
Phone(252) 847-5755
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 21, 2022
Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1790408102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-12630
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
526 MOYE BLVD, Greenville, NC 27834
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Secondary Practice Location 1

Location 1115 Heart DrGreenville, NC 27834-8982 · Phone (252) 744-4400 · Fax (252) 744-7623

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 and accepts Medicare assignment

Andrew Demeritt Stark 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 ID2062888613
PECOS Enrollment IDI20221021002325
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.

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$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 9

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

BENJAMIN HOCUTT AG-ACNP
Nurse Practitioner (Acute Care)
526 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 847-1135
NICOLE LEE
Nurse Practitioner (Acute Care)
526 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 847-3897
ERICA PROFFITT BARWICK FNP-C
Nurse Practitioner (Family)
526 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 847-5755
STUART CRAIG JOHNSON AGACNP
Nurse Practitioner (Acute Care)
526 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 847-4158
CHARLSIE COBB WOODARD APRN, CNP
Nurse Practitioner (Family)
526 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 847-0052
BRITNE LYNN BELL PA-C
Physician Assistant
526 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 847-3898
MRS. BRENNA EVANS WESTON FNP
Nurse Practitioner (Family)
526 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 847-1703
MINDY PAIGE CUNNINGHAM PA-C
Physician Assistant
526 MOYE BLVD, 2ND FLOOR CARDIOVASCULAR ICU
GREENVILLE, NC 27834
Pitt County (252) 847-4707

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 Andrew Stark's NPI number?

The NPI number for Andrew Stark is 1790408102. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Andrew Stark located?

Andrew Stark practices at 526 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 847-5755.

What is Andrew Stark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Stark enrolled in Medicare?

Yes. Andrew Stark 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 Andrew Stark accept?

Health plans from Blue Cross and Blue Shield of NC list Andrew Stark 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 Andrew Stark affiliated with any hospitals?

According to CMS data, Andrew Stark is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Stark was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.