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EUGENE WILLIAM ST. CLAIR M.D.
NPI 1851475727
Internal Medicine - Rheumatology in Durham, NC

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2100 ERWIN RD, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eugene William St. Clair M.d. NPPES

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

EUGENE WILLIAM ST. CLAIR M.D. (NPI 1851475727) is an individual rheumatology provider in Durham, North Carolina, licensed in North Carolina (26377) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of West Virginia University School Of Medicine (1980).

NPPES Registry Identity

NPI1851475727
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameEUGENE WILLIAM ST. CLAIRCredential: M.D.
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address2100 Erwin Rd, Duke University Medical Center - Dumc 3874Durham, NC 27710-0001
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1980
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 10, 2008
✔ NPI 1851475727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NC · 26377
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2100 ERWIN RD, Durham, NC 27710
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified8979499NC
Medicare ID-Type UnspecifiedC89517
Medicare PIN210635DDNC

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 and accepts Medicare assignment

Eugene William St. Clair M.d. 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 ID7214013994
PECOS Enrollment IDI20080320000272
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 4

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.
226 services147 patients
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.
112 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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.

NICOLAS DEL RIO AESCHLIMANN M.D.
Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
MR. GILBERT HOLMES CIOCCI
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Durham County (919) 668-1100
VINOD PRASAD
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
VIRGINIA KRAUS
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DR. SCOTT COUSINS MD
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
CINDY BLACK CRNA
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DONALD MOEDE
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
THOMAS D'AMICO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467

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 Eugene St. Clair's NPI number?

The NPI number for Eugene St. Clair is 1851475727. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Eugene St. Clair located?

Eugene St. Clair practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Eugene St. Clair's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Eugene St. Clair enrolled in Medicare?

Yes. Eugene St. Clair 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 Eugene St. Clair accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Eugene St. Clair 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 Eugene St. Clair affiliated with any hospitals?

According to CMS data, Eugene St. Clair is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Eugene St. Clair was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.