JOHN S WELSH JR. MD
NPI 1891776969
Obstetrics & Gynecology - Gynecology in Goldsboro, NC

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
102 HANDLEY PARK CT, GOLDSBORO, NC 27534(919) 734-3344(919) 735-3025 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John S Welsh Jr. Md NPPES

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

JOHN S WELSH JR. MD (NPI 1891776969) is an individual gynecology provider in Goldsboro, North Carolina, licensed in North Carolina (9300368) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1989).

NPPES Registry Identity

NPI1891776969
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameJOHN S WELSH JR.Credential: MD
Location Address102 HANDLEY PARK CTGoldsboro, NC 27534-1769
Mailing Address102 Handley Park CtGoldsboro, NC 27534-1769 · (919) 734-3344 · Fax (919) 735-3025
Fax(919) 735-3025
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1989
Enumeration DateNovember 7, 2005
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
NPI 1891776969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NC · 9300368
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
102 HANDLEY PARK CT, Goldsboro, NC 27534

Other Identifiers 1

Medicaid8986519NC

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

John S Welsh Jr. Md 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 ID5193858637
PECOS Enrollment IDI20111129000261
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 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.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
83%240 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%1,160 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
27%79 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
62%352 patients3/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%25 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%3,370 patients4/55-star benchmark: 100%
e-Prescribing
100%162 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
79%665 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
50%3,111 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 67% · 1,365 patients
Patients screened: 69% · 1,365 patients
66%68 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%522 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
102 HANDLEY PARK CT
GOLDSBORO, NC 27534
Obstetrics & Gynecology
102 HANDLEY PARK CT
GOLDSBORO, NC 27534
Physician Assistant
102 HANDLEY PARK CT
GOLDSBORO, NC 27534
Obstetrics & Gynecology
102 HANDLEY PARK CT
GOLDSBORO, NC 27534
Obstetrics & Gynecology
102 HANDLEY PARK CT
GOLDSBORO, NC 27534
Obstetrics & Gynecology
102 HANDLEY PARK CT
GOLDSBORO, NC 27534
Advanced Practice Midwife
102 HANDLEY PARK CT
GOLDSBORO, NC 27534
Obstetrics & Gynecology
102 HANDLEY PARK CT
GOLDSBORO, NC 27534

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 John Welsh's NPI number?

The NPI number for John Welsh is 1891776969. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is John Welsh located?

John Welsh practices at 102 Handley Park Ct, Goldsboro, NC 27534. The listed phone number is (919) 734-3344.

What is John Welsh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is John Welsh enrolled in Medicare?

Yes. John Welsh 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 John Welsh accept?

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

According to CMS data, John Welsh is affiliated with Unc Health Wayne.

When was this NPI record last updated?

The NPPES record for John Welsh was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.