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DR. DOUGLAS R. TURGEON M.D.
NPI 1861431793
Orthopaedic Surgery in Jefferson, NC

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
200 HOSPITAL AVE, JEFFERSON, NC 28640(336) 846-7101 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas R. Turgeon M.d. NPPES

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

DR. DOUGLAS R. TURGEON M.D. (NPI 1861431793) is an individual orthopaedic surgery provider in Jefferson, North Carolina, licensed in Texas (H9167) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ashe Memorial Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1985).

NPPES Registry Identity

NPI1861431793
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DOUGLAS R. TURGEONCredential: M.D.
Location Address200 HOSPITAL AVEJefferson, NC 28640-9244
Mailing Address200 Hospital AveJefferson, NC 28640-9244 · (336) 846-7101
Phone(336) 846-7101
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1985
Enumeration DateJune 6, 2006
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1861431793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TX · H9167✔ Licensed in MT · 100607
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
200 HOSPITAL AVE, Jefferson, NC 28640
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Other Identifiers 1

Medicaid1003675-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona 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

Dr. Douglas R. Turgeon 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 ID3375635147
PECOS Enrollment IDI20240129000327
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 5

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 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.
119 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
33 services22 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.
19 services19 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341325
Location200 Hospital AveJefferson, NC 28640 · Ashe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28640 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.

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.

KATHERINE A AVERILL MD
Obstetrics & Gynecology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
HIGH COUNTRY FAMILY MEDICINE, PA
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Ashe County (336) 846-7238
SHARON PATRICIA DILLEY MD
Internal Medicine
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
DR. JOHN ALVAR SUNDIN M.D.
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 846-8939
DR. RONALD WILLIAM BENFIELD MD
Orthopaedic Surgery
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
MOUNT JEFFERSON FAMILY MEDICINE, P.A.
Family Medicine
200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640
Ashe County (336) 846-7433
ASHE MEMORIAL HOSPITAL INC
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
CHARLES W JONES MD PA ENDOSCOPY SUITE
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 246-7779

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 Douglas Turgeon's NPI number?

The NPI number for Douglas Turgeon is 1861431793. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Douglas Turgeon located?

Douglas Turgeon practices at 200 Hospital Ave, Jefferson, NC 28640. The listed phone number is (336) 846-7101.

What is Douglas Turgeon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Douglas Turgeon enrolled in Medicare?

Yes. Douglas Turgeon 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 Douglas Turgeon accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, HMO Louisiana and Mountain Health CO-OP list Douglas Turgeon 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 Douglas Turgeon affiliated with any hospitals?

According to CMS data, Douglas Turgeon is affiliated with Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Turgeon was last updated on September 14, 2023. 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.