GARY KENNETH DEWEESE MD
NPI 1790744225
Internal Medicine - Cardiovascular Disease in Statesville, NC

Q: What is Gary Deweese's NPI number?

The NPI number for Gary Deweese is 1790744225. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Q: What is Gary Deweese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Deweese was last updated on May 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2006PECOS Enrolled

633 BROOKDALE DR STE 100, STATESVILLE, NC 28677(704) 873-7250(704) 838-1544 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gary Kenneth Deweese Md NPPES

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

GARY KENNETH DEWEESE MD (NPI 1790744225) is an individual cardiovascular disease provider in Statesville, North Carolina, licensed in North Carolina (32606) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790744225

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameGARY KENNETH DEWEESECredential: MD

Location Address633 BROOKDALE DR STE 100Statesville, NC 28677-3471

Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277 · Fax (704) 978-3549

Phone(704) 873-7250

Fax(704) 838-1544

Sole ProprietorNo

Enumeration DateMarch 22, 2006

Last NPPES UpdateMay 30, 2019

✔ NPI 1790744225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NC · 32606

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

633 BROOKDALE DR STE 100, Statesville, NC 28677

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Other Identifiers 1

Medicaid8928437NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Kenneth Deweese 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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.

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