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ALBERT JOHN RHOTON MD
NPI 1801816475
Internal Medicine - Gastroenterology in High Point, NC

Active since July 19, 2006PECOS Enrolled
1814 WESTCHESTER DR, HIGH POINT, NC 27262(336) 716-2255 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Albert John Rhoton Md NPPES

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

ALBERT JOHN RHOTON MD (NPI 1801816475) is an individual gastroenterology provider in High Point, North Carolina, licensed in North Carolina (33120) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801816475
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameALBERT JOHN RHOTONCredential: MD
Location Address1814 WESTCHESTER DRHigh Point, NC 27262-7299
Mailing Address1701 Westchester Drive, Suite 850High Point, NC 27262-7254 · (336) 802-2400 · Fax (336) 802-2400
Phone(336) 716-2255
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1801816475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 33120
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1814 WESTCHESTER DR, High Point, NC 27262
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Other Identifiers 2

Medicaid8971439NC
Other100008632NC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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)

Albert John Rhoton 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.

Areas of Expertise CMS Part B claims 8

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
34 services33 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
30 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
27 services27 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
26 services25 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 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
$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.

KINSLEY C COLEY PAC
Physician Assistant
1814 WESTCHESTER DR, SUITE 101
HIGH POINT, NC 27262
Guilford County (336) 802-2150
DR. AMY BRIAN PHARMD, CPP
Pharmacist
1814 WESTCHESTER DR, STE 301
HIGH POINT, NC 27262
Guilford County (336) 802-2588
PAULINE ILOGEBE IREH NP
Nurse Practitioner (Family)
1814 WESTCHESTER DR, STE 301
HIGH POINT, NC 27262
Guilford County (336) 802-2025
DR. ADRIANA NICOLE YON PH.D.
Clinical Neuropsychologist
1814 WESTCHESTER DR, SUITE 402
HIGH POINT, NC 27262
Guilford County (336) 802-2205
EQUIENA NICOLE SCOTT FNP
Nurse Practitioner (Family)
1814 WESTCHESTER DR, SUITE 301
HIGH POINT, NC 27262
Guilford County (336) 802-2025
WAKE FOREST HEALTH NETWORK, LLC
Clinical Medical Laboratory
1814 WESTCHESTER DR, SUITE 400
HIGH POINT, NC 27262
Guilford County (336) 802-2130
RYAN MICHAEL MOORE PHARMD
Pharmacist
1814 WESTCHESTER DR, SUITE 301
HIGH POINT, NC 27262
Guilford County (336) 802-2588
SANDY LYNN DAVIS NP
Nurse Practitioner
1814 WESTCHESTER DR, STE 301
HIGH POINT, NC 27262
Guilford County (336) 802-2588

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 Albert Rhoton's NPI number?

The NPI number for Albert Rhoton is 1801816475. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Albert Rhoton located?

Albert Rhoton practices at 1814 Westchester Dr, High Point, NC 27262. The listed phone number is (336) 716-2255.

What is Albert Rhoton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Albert Rhoton enrolled in Medicare?

Yes. Albert Rhoton is registered in the Medicare PECOS enrollment system.

What insurance does Albert Rhoton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Albert Rhoton 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 Albert Rhoton was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.