DENISE POLAND LAMM P.A.-C
NPI 1851383046
Physician Assistant in Raleigh, NC

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
4551 NEW BERN AVE STE 100, RALEIGH, NC 27610(984) 215-4950(984) 215-4955 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Aug 9, 2021, Apr 8, 2021 and 2 more (5 updates tracked since 2017).

About Denise Poland Lamm P.a.-c NPPES

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

DENISE POLAND LAMM P.A.-C (NPI 1851383046) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (102154) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851383046
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDENISE POLAND LAMMCredential: P.A.-C
Location Address4551 NEW BERN AVE STE 100Raleigh, NC 27610-2797
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490
Fax(984) 215-4955
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 16, 2005
Last NPPES UpdateMarch 21, 20235 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1851383046 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 · 102154
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.

4551 NEW BERN AVE STE 100, Raleigh, NC 27610

Secondary Practice Locations 2

Location 1111 Hospital DrTarboro, NC 27886-2011 · Phone (252) 641-7700 · Fax (252) 641-7388
Location 21540 Sunday DrRaleigh, NC 27607-6010 · Phone (919) 782-3456 · Fax (919) 783-1441

Accepted 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

Denise Poland Lamm P.a.-c 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 ID2668443359
PECOS Enrollment IDI20040805000069
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 6

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.
232 services143 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.
25 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 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.
16 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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 suppliers11 claims28 services$6.70 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers37 claims37 services$33.27 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers21 claims121 services$17.14 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers30 claims30 services$44.82 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers19 claims19 services$14.05 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
10 suppliers35 claims204 services$1.75 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 4

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

Nurse Practitioner (Adult Health)
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610
Nurse Practitioner (Gerontology)
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610
Family Medicine
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610
Nurse Practitioner (Primary Care)
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610

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 Denise Lamm's NPI number?

The NPI number for Denise Lamm is 1851383046. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Denise Lamm located?

Denise Lamm practices at 4551 New Bern Ave Ste 100, Raleigh, NC 27610. The listed phone number is (984) 215-4950.

What is Denise Lamm's specialty?

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

Is Denise Lamm enrolled in Medicare?

Yes. Denise Lamm 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 Denise Lamm accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Denise Lamm 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 Denise Lamm affiliated with any hospitals?

According to CMS data, Denise Lamm is affiliated with Rex Hospital and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Denise Lamm was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.