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DR. CLAIRE SANGER DILLINGHAM D.O.
NPI 1902006646
Plastic Surgery in Kernersville, NC

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
1070 OLD STONE LN, KERNERSVILLE, NC 27284(336) 655-5550(336) 655-5550 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, Aug 17, 2021, Sep 28, 2016 (3 updates tracked since 2016).

About Dr. Claire Sanger Dillingham D.o. NPPES

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

DR. CLAIRE SANGER DILLINGHAM D.O. (NPI 1902006646) is an individual plastic surgery provider in Kernersville, North Carolina, licensed in North Carolina (200300085) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1902006646
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. CLAIRE SANGER DILLINGHAMCredential: D.O.
Location Address1070 OLD STONE LNKernersville, NC 27284-3852
Mailing AddressPo Box 602658Charlotte, NC 28260-2658 · (336) 716-2011
Phone(336) 655-5550
Fax(336) 655-5550
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1999
Enumeration DateJuly 20, 2007
Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1902006646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in NC · 200300085✔ Licensed in IN · 02009184A
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1070 OLD STONE LN, Kernersville, NC 27284
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Other Identifiers 8

Other01136BNC · Upin
Other146GFBcbs
Medicaid5907675NC
Other810642Partners
Other9073058Aetna
Medicaid3810009758WV
MedicaidQ85003SC
Other202032Medcost

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Claire Sanger Dillingham D.o. 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 ID9032203419
PECOS Enrollment IDI20070915000275
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Claire Dillingham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest University Health Sciences
10 mi
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255
Moses Cone Physician Services, Inc.
13 mi
Family Medicine
4446 US HIGHWAY 220 NORTH, SUITE A
Summerfield, NC 27358
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1124574827 (336) 832-3384
The Moses H Cone Memorial Hospital Operating Corporation
17 mi
Internal Medicine
1200 N ELM ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 408 clinicians in this Medicare group
NPI 1356372064 (336) 832-9943
Vidant Medical Group LLC
151 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 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.
15 services15 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.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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 2

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier14 claims41 services$36.42 avg. paid by Medicare
Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
1 supplier11 claims16 services$183.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Claire Dillingham's NPI number?

The NPI number for Claire Dillingham is 1902006646. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Claire Dillingham located?

Claire Dillingham practices at 1070 Old Stone Ln, Kernersville, NC 27284. The listed phone number is (336) 655-5550.

What is Claire Dillingham's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Claire Dillingham enrolled in Medicare?

Yes. Claire Dillingham 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.

Which organizations bill Medicare for Claire Dillingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Dillingham reassigns Medicare benefits to 4 organizations: Wake Forest University Health Sciences (Winston Salem, NC), Moses Cone Physician Services, Inc. (Summerfield, NC), The Moses H Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Vidant Medical Group LLC (Kinston, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claire Dillingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Dillingham accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Claire Dillingham 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 Claire Dillingham affiliated with any hospitals?

According to CMS data, Claire Dillingham is affiliated with Ecu Health Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Claire Dillingham was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.