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MELVIN D GERALD
NPI 1811931140
Family Medicine in Whiteville, NC

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
326 COLUMBUS CORNERS DR, WHITEVILLE, NC 28472(910) 642-2050(910) 207-6911 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melvin D Gerald NPPES

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

MELVIN D GERALD (NPI 1811931140) is an individual family medicine provider in Whiteville, North Carolina, licensed in North Carolina (20005) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811931140
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMELVIN D GERALD
Location Address326 COLUMBUS CORNERS DRWhiteville, NC 28472-4929
Mailing AddressPo Box 75492Baltimore, MD 21275-5492 · (301) 364-3200 · Fax (301) 364-3261
Phone(910) 642-2050
Fax(910) 207-6911
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1964
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1811931140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 20005✔ Licensed in DC · C38803002
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
326 COLUMBUS CORNERS DR, Whiteville, NC 28472
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Secondary Practice Locations 2

Location 11160 Varnum St NE, Ste 117Washington, DC 20017-2107 · Phone (202) 832-7007 · Fax (202) 529-5290
Location 27490 Andrew Jackson Hwy SWCerro Gordo, NC 28430-9258 · Phone (910) 654-2050 · Fax (910) 654-1258

Other Identifiers 5

Medicaid021634500NC
Other35140802MD · Bcbs Of Md
Medicaid021634500DC
Medicaid411011100MD
Other87020003DC · Bcbs Care1st

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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

Melvin D Gerald 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 ID2860480936
PECOS Enrollment IDI20101005000799, I20110419000251
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
410 services165 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services109 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
86 services86 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
85 services85 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
53 services11 patients

Hospital Affiliations CMS Care Compare

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

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28472 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims46 services$5.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JOHN R. GREENE III M.D.
Family Medicine
326 COLUMBUS CORNERS DR
WHITEVILLE, NC 28472
Columbus County (202) 368-6793
DAVID E WHITE MD
Family Medicine
326 COLUMBUS CORNERS DR
WHITEVILLE, NC 28472
Columbus County (910) 212-6613
WILMINGTON MEDICAL GROUP PA
Family Medicine
326 COLUMBUS CORNERS DR
WHITEVILLE, NC 28472
Columbus County (910) 642-9876

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 Melvin Gerald's NPI number?

The NPI number for Melvin Gerald is 1811931140. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Melvin Gerald located?

Melvin Gerald practices at 326 Columbus Corners Dr, Whiteville, NC 28472. The listed phone number is (910) 642-2050.

What is Melvin Gerald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melvin Gerald enrolled in Medicare?

Yes. Melvin Gerald 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 Melvin Gerald accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Melvin Gerald 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 Melvin Gerald affiliated with any hospitals?

According to CMS data, Melvin Gerald is affiliated with Columbus Regional Healthcare System.

When was this NPI record last updated?

The NPPES record for Melvin Gerald was last updated on June 11, 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.